Individual provider Active NPI

Robert Michael Victor, DPM

  • Podiatrist
  • Chico, CA
National Provider Identifier
1528059300
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4578 Issued in CA
Practice address
578 Rio Lindo Ave Ste 4
Chico, CA 95926-1800
Phone
(530) 894-6195
Fax
(530) 894-6195
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4578 CA Primary

Addresses

Primary practice location

578 Rio Lindo Ave Ste 4
Chico, CA 95926-1800

Mailing address

578 Rio Lindo Ave Ste 4
Chico, CA 95926-1800
Phone (530) 894-6195

Other identifiers 1

IdentifierTypeStateIssuer
P00467744OtherORRR MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110210000222 CA Practitioner - Podiatry 2860462835 Practice locations: Chico, CA
O20110316000781 CA DME Supplier - Physician - Podiatry 7810179553 Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

578 Rio Lindo Ave
Suite 4
Chico, CA 95926-1800
Phone (530) 877-6221

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as individual
Quality
83.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue194
Removal of skin lesions1-10
Removal of nail tissue1198
Removal or shaving of skin growth582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4578CAMDPodiatrist

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1528059300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 RIO LINDO AVE STE 4",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261800",
            "telephone_number": "530-894-6195",
            "fax_number": "530-894-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 RIO LINDO AVE STE 4",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261800",
            "telephone_number": "530-894-6195",
            "fax_number": "530-894-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00467744",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.