Active NPI
Feather River Cardiology Medical Group, Inc.
- Cardiovascular Disease Physician
- Marysville, CA
National Provider Identifier
1659694560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G41895
- Legal business name
- FEATHER RIVER CARDIOLOGY MEDICAL GROUP, INC.
- Practice address
- 414 G St Ste 208
Marysville, CA 95901-5669 - Phone
- (530) 741-1122
- Fax
- (530) 741-1155
- NPI assigned
- Mar 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael L. Chin, MD
- Title
- President
- Phone
- (530) 741-1122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G41895 | CA | Primary |
Addresses
Primary practice location
414 G St Ste 208
Marysville, CA 95901-5669
Mailing address
414 G St
Suite 208
Marysville, CA 95901-5663
Phone (530) 741-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3269539 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
414 G St
Ste 208
Marysville, CA 95901
Phone (530) 741-1122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354579200000",
"number": "1659694560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 G ST",
"address_2": "SUITE 208",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015663",
"telephone_number": "530-741-1122",
"fax_number": "530-741-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 G ST STE 208",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015669",
"telephone_number": "530-741-1122",
"fax_number": "530-741-1155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEATHER RIVER CARDIOLOGY MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-05",
"last_updated": "2012-12-04",
"status": "A",
"authorized_official_last_name": "CHIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-741-1122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G41895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3269539",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.