Individual provider Active NPI

Mauricio Schrader, M.D.

  • Diagnostic Radiology Physician
  • Chico, CA
National Provider Identifier
1497792626
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
RHL136836 Issued in CA
Practice address
1720 Esplanade
Chico, CA 95926-3315
Phone
(530) 898-0500
Fax
(530) 898-0533
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X RHL136836 CA Primary

Addresses

Primary practice location

1720 Esplanade
Chico, CA 95926-3315

Mailing address

1720 Esplanade
Chico, CA 95926-3315
Phone (530) 898-0504

Other identifiers 2

IdentifierTypeStateIssuer
A44661OtherCAMEDICAL LICENSE
00A446610MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080811000551 CA Practitioner - Diagnostic Radiology 0749192847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halo Medical GroupGroup PAC ID 7012806052, 20 clinicians

Practice addresses (Care Compare)

1720 Esplanade
Chico, CA 95926-3315
Phone (530) 898-0504

74785 US Hwy 111
Suite 101
Indian Wells, CA 92210-7129
Phone (760) 776-8989

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RHL136836CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Advanced Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2009 Accepting new patients
Halo Medical Group Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
Chico MRI Partners Diagnostic Radiology Past Accepting new patients
Halo Breast Care Center Professional Corporation Diagnostic Radiology Past Accepting new patients
Oroville Hospital Past Accepting new patients
Desert Medical Imaging, a Medical Corporation Past Accepting new patients
Halo Clinical Lab Inc Past Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology Past Accepting new patients

Locations

1638 The Esplanade
Chico, CA 95926
Phone (530) 332-6200

1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

81800 Doctor Carreon Blvd
Ste C
Indio, CA 92201
Phone (760) 863-4085

1133 N Palm Canyon Dr
Ste B
Palm Springs, CA 92262
Phone (760) 322-8883

Organizations & group practices 8

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1497792626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263315",
            "telephone_number": "530-898-0504",
            "fax_number": "530-898-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263315",
            "telephone_number": "530-898-0500",
            "fax_number": "530-898-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "MAURICIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "RHL136836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A44661",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A446610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.