Active NPI
Robert A Chase, M.D.
- Otolaryngology Physician
- Placerville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G74828
- Practice address
- 4300 Golden Center Dr
Suite D
Placerville, CA 95667-6278 - Phone
- (530) 344-2000
- Fax
- (530) 344-2014
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | G74828 | CA | |
| Otolaryngology Physician | 207Y00000X | G74828 | CA | Primary |
Addresses
Primary practice location
4300 Golden Center Dr
Suite D
Placerville, CA 95667-6278
Mailing address
PO Box 45680
San Francisco, CA 94145-0680
Phone (530) 344-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070626000293 | CA | Practitioner - Otolaryngology | 8224042759 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- State University of New York Downstate Medical Center, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marshall Medical Center
Practice addresses (Care Compare)
4300 Golden Ctr Dr
Suite D
Placerville, CA 95667-6278
Phone (530) 344-2000
Hospital & facility affiliations
- Marshall Medical Center
- University of California Davis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G74828 | CA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Medical Center | Current | Accepting new patients | |
| Marshall Medical Center | Current | Accepting new patients | |
| Marshall Medical Center | Past | Accepting new patients | |
| Marshall Medical Center | Past | Accepting new patients |
Locations
3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920
1004 Fowler Way
Ste 4
Placerville, CA 95667
Phone (530) 626-9488
4300 Golden Center Dr
Ste D
Placerville, CA 95667
Phone (530) 344-2000
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.
-
- Home Health Agency
- Diamond Springs, CA
- NPI 1992705040
-
- Rural Health Clinic/Center
- Georgetown, CA
- NPI 1346226693
-
- Rural Health Clinic/Center
- Placerville, CA
- NPI 1386065480
-
- Community/Retail Pharmacy
- Cameron Park, CA
- NPI 1447912191
-
- Rehabilitation Clinic/Center
- El Dorado Hills, CA
- NPI 1972309326
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
-
- Orthopaedic Surgery Physician
- Placerville, CA
- NPI 1649562315
-
- Interventional Cardiology Physician
- Placerville, CA
- NPI 1215181664
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1487757779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45680",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941450680",
"telephone_number": "530-344-2000",
"fax_number": "530-344-2014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 GOLDEN CENTER DR",
"address_2": "SUITE D",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956676278",
"telephone_number": "530-344-2000",
"fax_number": "530-344-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "G74828",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G74828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.