Enloe Medical Center

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

230000027 Issued in CA

Legal business name

ENLOE MEDICAL CENTER

Doing business as

Enloe Neurology Clinic

Practice address

1421 Magnolia Ave
Chico, CA 95926-3226

Phone

(530) 332-7300

NPI assigned

Dec 22, 2014

Last updated

Dec 22, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

ENLOE MEDICAL CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Myron Machula

Title

VP/Cfo

Phone

(530) 332-7357

Specialties & licenses 1

Addresses

Other names 1

• Enloe Neurology Clinic Doing business as

Part of

Prompt Care

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1366830507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 ESPLANADE",
            "address_2": "ATTN: FINANCE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263310",
            "telephone_number": "530-332-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 MAGNOLIA AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263226",
            "telephone_number": "530-332-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLOE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENLOE MEDICAL CENTER",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "MACHULA",
        "authorized_official_first_name": "MYRON",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "530-332-7357",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "230000027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enloe Neurology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Enloe Medical Center (Enloe Female Pelvic Medicine and Reconstructive Surgery)
• Enloe Medical Center (Enloe ENT - Head & Neck Specialists)
• Enloe Medical Center
• Enloe Medical Center (Chico Hospitalist Group)
• Enloe Medical Center (Enloe Neurosurgical & Spine Clinic)
• Enloe Medical Center
• Enloe Medical Center (Enloe Prompt Care)
• Enloe Medical Center
• Enloe Medical Center (Enloe Trauma & Surgery Clinic)
• Enloe Medical Center (Enloe Health Infusion Pharmacy)

• Neurology Physician in Chico, CA
• Providers in Chico, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.