Organization Active NPI

Vimali Paul MD Inc

  • Primary Care Clinic/Center
  • Chico, CA
National Provider Identifier
1447518816
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A53520 Issued in CA
Legal business name
VIMALI PAUL MD INC
Practice address
85 Declaration Drive
Suite 110
Chico, CA 95973
Phone
(530) 894-6600
Fax
(530) 894-1321
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Ms. Juanita Roman
Title
Office Manager
Phone
(530) 894-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A53520 CA Primary

Addresses

Primary practice location

85 Declaration Drive
Suite 110
Chico, CA 95973

Mailing address

85 Declaration Dr
Suite 110
Chico, CA 95973-4964
Phone (530) 894-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000408 CA Part B Supplier - Clinic/Group Practice 4880620095 Receives reassigned benefits from 1 practitioner
Practice locations: Chico, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1447518816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 DECLARATION DR",
            "address_2": "SUITE 110",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734964",
            "telephone_number": "530-894-6600",
            "fax_number": "530-894-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 DECLARATION DRIVE",
            "address_2": "SUITE 110",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95973",
            "telephone_number": "530-894-6600",
            "fax_number": "530-894-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIMALI PAUL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-894-6600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A53520",
            "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 Apr 24, 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.