Organization Active NPI

Whitney Dixon MD Inc

  • Specialist
  • Chico, CA
National Provider Identifier
1407025653
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G83663 Issued in CA
Legal business name
WHITNEY DIXON MD INC
Practice address
145 Mission Ranch Blvd
Suite 115
Chico, CA 95926-2296
Phone
(530) 899-9616
Fax
(530) 899-9686
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Deanna Lee Angelo
Title
Office Manager
Phone
(530) 899-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G83663 CA Primary

Addresses

Primary practice location

145 Mission Ranch Blvd
Suite 115
Chico, CA 95926-2296

Mailing address

145 Mission Ranch Blvd
Suite 115
Chico, CA 95926-2296
Phone (530) 899-9616

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ24570ZOtherCAMEDICARE CORPORATE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050725000537 CA Part B Supplier - Clinic/Group Practice 6507893260 Receives reassigned benefits from 4 practitioners
Practice locations: Chico, CA

National Provider Directory

National Provider Directory

Locations

1307 The Esplanade
Ste 1
Chico, CA 95926
Phone (530) 831-0207

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFIFBA

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1407025653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MISSION RANCH BLVD",
            "address_2": "SUITE 115",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262296",
            "telephone_number": "530-899-9616",
            "fax_number": "530-899-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MISSION RANCH BLVD",
            "address_2": "SUITE 115",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262296",
            "telephone_number": "530-899-9616",
            "fax_number": "530-899-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY DIXON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "ANGELO",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-899-9616"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G83663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CORPORATE ID",
            "identifier": "ZZZ24570Z",
            "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 Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.