Individual provider Active NPI

Charles Nolan Price, D.C.

  • Chiropractor
  • Yuba City, CA
National Provider Identifier
1457568867
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
17473 Issued in CA
Practice address
471 Ainsley Ave
Yuba City, CA 95991-4105
Phone
(530) 755-3200
Fax
(530) 755-3205
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 17473 CA Primary
Chiropractor 111N00000X CHIA-1238 ID

Addresses

Primary practice location

471 Ainsley Ave
Yuba City, CA 95991-4105

Mailing address

471 Ainsley Ave
Yuba City, CA 95991-4105
Phone (530) 755-3200

Other identifiers 4

IdentifierTypeStateIssuer
CHIA-1238OtherIDSTATE LICENSE
GDC000590MedicaidCA
DC0174730MedicaidCA
1811084973OtherCAFACILITY NPI NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081113000238 CA Practitioner - Chiropractic 3779643267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peach Tree Healthcare 32 clinicians

Practice addresses (Care Compare)

3810 Rosin CT
Suite 100
Sacramento, CA 95834-1657
Phone 53074932421124

9980 Live Oak Blvd
Live Oak, CA 95953-2334
Phone 50374932421124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1238IDMDChiropractor
17473CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Tree Healthcare Current Accepting new patients
Peach Tree Healthcare CurrentSince Jul 12, 2022 Accepting new patients
Peach Tree Healthcare CurrentSince Jul 12, 2022 Accepting new patients

Locations

9980 Live Oak Blvd
Live Oak, CA 95953
Phone (503) 749-3242

1114 Yuba St
Ste 220
Marysville, CA 95901
Phone (240) 816-4358

5730 Packard Ave
Ste 500
Marysville, CA 95901
Phone (530) 741-3242

3810 Rosin Ct
Ste 100
Sacramento, CA 95834
Phone (530) 413-9627

1275 Tharp Rd
Yuba City, CA 95993

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: charles.price.d1.p1@direct.peachtreehealth.nextgenshare.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1457568867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 AINSLEY AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914105",
            "telephone_number": "530-755-3200",
            "fax_number": "530-755-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 AINSLEY AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914105",
            "telephone_number": "530-755-3200",
            "fax_number": "530-755-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "CHARLES",
        "middle_name": "NOLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17473",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CHIA-1238",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GDC000590",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0174730",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI NUMBER",
            "identifier": "1811084973",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.