NPIMap

Organization Active NPI

North State Health Clinic, Inc.

Doing business as Children's Clinic

  • Pediatrics Physician
  • Marysville, CA
National Provider Identifier
1477735009
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A070328 Issued in CA
Legal business name
NORTH STATE HEALTH CLINIC, INC.
Doing business as
Children's Clinic
Practice address
314 H St
Ste-a
Marysville, CA 95901-5832
Phone
(530) 674-2100
Fax
(530) 674-2277
NPI assigned
Dec 5, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Sanjiv Kumar Midha, M.D.NPI 1265476014
Title
Secretory
Phone
(530) 674-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A070328 CA Primary

Addresses

Primary practice location

314 H St
Ste-a
Marysville, CA 95901-5832

Mailing address

1215 Plumas St
Ste-1900
Yuba City, CA 95991-3455
Phone (530) 674-2100

Other names 1

  • CHILDREN'S CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

314 H St
Marysville, CA 95901
Phone (530) 674-2100

314 H St
Ste A
Marysville, CA 95901

Practitioners & affiliated clinicians

Practitioners 1

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": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1477735009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST",
            "address_2": "STE-1900",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913455",
            "telephone_number": "530-674-2100",
            "fax_number": "530-674-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 H ST",
            "address_2": "STE-A",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015832",
            "telephone_number": "530-674-2100",
            "fax_number": "530-674-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STATE HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "MIDHA",
        "authorized_official_first_name": "SANJIV",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "SECRETORY",
        "authorized_official_telephone_number": "530-674-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A070328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDREN'S CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.