Active NPI
Neil Brandan Stark, D.O.
- Family Medicine Physician
- Chico, CA
National Provider Identifier
1548309651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6829
- Practice address
- 127 Raley Blvd Ste 100
Chico, CA 95928-8347 - Phone
- (530) 514-0904
- NPI assigned
- Feb 5, 2007
- Last updated
- Jun 9, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6829 | CA | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | OP61153857 | WA | |
| Family Medicine Physician | 207Q00000X | 2OA6829 | CA |
Addresses
Primary practice location
127 Raley Blvd Ste 100
Chico, CA 95928-8347
Mailing address
PO Box 2802
Bellingham, WA 98227-2802
Phone (530) 514-0904
Other practice location 1
1302 Lowe Ave
Bellingham, WA 98229-2522
Phone (530) 514-0904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Bellingham, WA 98229
Phone (530) 514-0904
127 Raley Blvd
Suite 100
Chico, CA 95928-8347
Phone (530) 514-0904
1302 Lowe Ave
Bellingham, WA 98229-2522
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6829 | CA | MD | Family Medicine Physician |
| 2OA6829 | CA | MD | Family Medicine Physician |
| OP61153857 | WA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neil Brandan Stark DO Inc | Family Medicine | Current | Accepting new patients |
| Enloe Medical Center | Past | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Locations
127 Raley Blvd
Ste 100
Chico, CA 95928
Phone (530) 514-0904
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chico, CA
- NPI 1568492700
-
dba St. Elizabeth Community Hospital
- General Acute Care Hospital
- Red Bluff, CA
- NPI 1083732853
-
dba Dignity Health Solano Street Medical Clinic
- Rural Health Clinic/Center
- Corning, CA
- NPI 1609246461
Hospital
-
- 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": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1548309651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2802",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982272802",
"telephone_number": "530-514-0904",
"fax_number": "866-493-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 RALEY BLVD STE 100",
"city": "CHICO",
"state": "CA",
"postal_code": "959288347",
"telephone_number": "530-514-0904"
}
],
"practiceLocations": [
{
"address_1": "1302 Lowe Ave",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982292522",
"country_code": "US",
"telephone_number": "530-514-0904",
"fax_number": "866-493-2923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STARK",
"first_name": "NEIL",
"middle_name": "BRANDAN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6829",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "WA",
"license": "OP61153857",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "2OA6829",
"primary": false
}
],
"identifiers": [],
"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 Jun 9, 2026; 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.