Individual provider Active NPI

Elisa Brown, MD

  • Pediatrics Physician
  • Chico, CA
National Provider Identifier
1376546846
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G70140 Issued in CA
Practice address
194 Cohasset Rd
Chico, CA 95926-2202
Phone
(530) 893-2303
Fax
(530) 893-3607
NPI assigned
May 27, 2005
Last updated
Feb 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G70140 CA Primary

Addresses

Primary practice location

194 Cohasset Rd
Chico, CA 95926-2202

Mailing address

194 Cohasset Rd
Chico, CA 95926-2202
Phone (530) 893-2303

Other identifiers 1

IdentifierTypeStateIssuer
00G701400MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G70140CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Health and Wellness Pediatrics Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Enloe Health and Wellness Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ebrown15181@enloedirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1376546846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262202",
            "telephone_number": "530-893-2303",
            "fax_number": "530-893-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262202",
            "telephone_number": "530-893-2303",
            "fax_number": "530-893-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G70140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G701400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.