Organization Active NPI

Comprehensive Renal Care Group a Medical Corporation

  • Nephrology Physician
  • Chico, CA
National Provider Identifier
1467497578
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
COMPREHENSIVE RENAL CARE GROUP A MEDICAL CORPORATION
Practice address
285 Cohasset Rd
Suite 100
Chico, CA 95926-2243
Phone
(530) 892-2300
Fax
(530) 894-5890
NPI assigned
Jun 20, 2006
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Muhammad Bashir, MDNPI 1720081342
Title
Ceo
Phone
(530) 892-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

285 Cohasset Rd
Suite 100
Chico, CA 95926-2243

Mailing address

PO Box 6789
Chico, CA 95927-6789
Phone (530) 892-2300

Other identifiers 2

IdentifierTypeStateIssuer
DC5283OtherMEDICARE RAILROAD #
GR0100320MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041029000572 CA Part B Supplier - Clinic/Group Practice 7517929862 Receives reassigned benefits from 2 practitioners
Practice locations: Chico, CA; Oroville, CA

National Provider Directory

National Provider Directory

Locations

1058 Mangrove Ave
Ste 2
Chico, CA 95926
Phone (530) 892-5300

285 Cohasset Rd
Ste 100
Chico, CA 95926
Phone (530) 892-2300

530 Cohasset Rd
Ste 9
Chico, CA 95926
Phone (530) 892-2300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1467497578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6789",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959276789",
            "telephone_number": "530-892-2300",
            "fax_number": "530-894-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 COHASSET RD",
            "address_2": "SUITE 100",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262243",
            "telephone_number": "530-892-2300",
            "fax_number": "530-894-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE RENAL CARE GROUP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "BASHIR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-892-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "DC5283",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100320",
            "state": "CA"
        }
    ],
    "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 Dec 5, 2014; 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.