Active NPI
Edward A Ranzenbach, PA
- Surgical Physician Assistant
- Chico, CA
National Provider Identifier
1457379117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2022016230
- Practice address
- 1531 Esplanade
Chico, CA 95926-3310 - Phone
- (530) 332-6337
- Fax
- (530) 893-6936
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA13981 | CA | |
| Surgical Physician Assistant | 363AS0400X | 2022016230 | MO | Primary |
Addresses
Primary practice location
1531 Esplanade
Chico, CA 95926-3310
Mailing address
1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-6337
Other practice location 1
12266 De Paul Dr Ste 205
Bridgeton, MO 63044-2514
Phone (314) 218-2300
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA13981 | CA | MD | Surgical Physician Assistant |
| 2022016230 | MO | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firstcare Medical Foundation | Past | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Past | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Past | Accepting new patients | |
| Starr-Wood Cardiac Group of Visalia Medical Corporation, PC | Past | Accepting new patients |
Interoperability endpoints
- eranzenbach91016@direct.whhs.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Visalia, CA
- NPI 1902871841
-
dba Samaritan Medical Clinics
- Family Medicine Physician
- Albany, OR
- NPI 1740216498
-
dba Samaritan Orthopedics-Luis Vela, DO
- Durable Medical Equipment & Medical Supplies
- Corvallis, OR
- NPI 1477851186
-
dba Samaritan Gynecologic Oncology - Corvallis
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1457379117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 ESPLANADE",
"city": "CHICO",
"state": "CA",
"postal_code": "959263310",
"telephone_number": "530-332-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 ESPLANADE",
"city": "CHICO",
"state": "CA",
"postal_code": "959263310",
"telephone_number": "530-332-6337",
"fax_number": "530-893-6936"
}
],
"practiceLocations": [
{
"address_1": "12266 De Paul Dr Ste 205",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "MO",
"postal_code": "630442514",
"country_code": "US",
"telephone_number": "314-218-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANZENBACH",
"first_name": "EDWARD",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA13981",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MO",
"license": "2022016230",
"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 Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.