Active NPI
Matthias Loman Cross
- Registered Nurse
- Chico, CA
National Provider Identifier
1407358690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95146214
- Practice address
- 592 Rio Lindo Ave
Chico, CA 95926-1817 - Phone
- (530) 891-2775
- NPI assigned
- Mar 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95146214 | CA | Primary |
Addresses
Primary practice location
592 Rio Lindo Ave
Chico, CA 95926-1817
Mailing address
1501 N Cherry St Apt 10
Chico, CA 95926-3761
Phone (530) 927-7823
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95146214 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1407358690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N CHERRY ST APT 10",
"city": "CHICO",
"state": "CA",
"postal_code": "959263761",
"telephone_number": "530-927-7823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "592 RIO LINDO AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959261817",
"telephone_number": "530-891-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "MATTHIAS",
"middle_name": "LOMAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-02",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CA",
"license": "95146214",
"primary": true
}
],
"identifiers": [],
"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 Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.