NPIMap

Individual provider Active NPI

Steven A Wahlen, M.D.

  • Radiation Oncology Physician
  • Chico, CA
National Provider Identifier
1457308769
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
RHL1388296 Issued in CA
Practice address
265 Cohasset Rd
Suite 140
Chico, CA 95926-2273
Phone
(530) 891-8787
Fax
(530) 898-9647
NPI assigned
May 30, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X RHL1388296 CA Primary

Addresses

Primary practice location

265 Cohasset Rd
Suite 140
Chico, CA 95926-2273

Mailing address

PO Box 511470
Los Angeles, CA 90051-8025
Phone (512) 583-0205

Other identifiers 2

IdentifierTypeStateIssuer
00G701900MedicaidCA
G70190OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080617000694 CA Practitioner - Radiation Oncology 5496791717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Loma Linda University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Specialty Physicians IncGroup PAC ID 7416111893, 24 clinicians

Practice addresses (Care Compare)

265 Cohasset Rd
Chico, CA 95926-2273
Phone (530) 332-3808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
68.68
Promoting interoperability
100
Improvement activities
40
Cost
67.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RHL1388296CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Specialty Physicians, Inc Radiation Oncology CurrentSince Mar 13, 2019 Accepting new patients
Enloe Medical Center Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
North Valley Radiation Oncology Medical Group Inc Radiation Oncology Past Accepting new patients

Locations

265 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3808

265 Cohasset Rd
Ste 140
Chico, CA 95926
Phone (530) 332-3917

Interoperability endpoints

  • Direct secure messaging: swahlen15491@enloedirect.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457308769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511470",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900518025",
            "telephone_number": "512-583-0205",
            "fax_number": "512-583-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 COHASSET RD",
            "address_2": "SUITE 140",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262273",
            "telephone_number": "530-891-8787",
            "fax_number": "530-898-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLEN",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "RHL1388296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G701900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G70190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.