Active NPI
Robert Michael Victor, DPM
- Podiatrist
- Chico, CA
National Provider Identifier
1528059300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4578
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00467744 | Other | OR | RR MEDICARE PIN |
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: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Oroville Hospital
- Adventist Health Clearlake
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.67 of 100
- Quality
- 83.33
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 194 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1198 |
| Removal or shaving of skin growth | 582 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4578 | CA | MD | Podiatrist |
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.