Organization Active NPI

Feather River Cardiology Medical Group, Inc.

  • Cardiovascular Disease Physician
  • Marysville, CA
National Provider Identifier
1659694560
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G41895 Issued in CA
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

Updated by the provider on Dec 4, 2012

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3269539MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.