NPIMap

Individual provider Active NPI

Mitra Delshad

  • Family Nurse Practitioner
  • Chico, CA
National Provider Identifier
1659735637
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004787 Issued in CA
Practice address
680 Cohasset Rd
Chico, CA 95926-2213
Phone
(530) 342-4395
Fax
(530) 894-2325
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ampla Health 105 clinicians

Practice addresses (Care Compare)

680 Cohasset Rd
Chico, CA 95926-2213
Phone (530) 342-4395

Hospital & facility affiliations

  • Butte Home Health and Hospice Home health agency, Chico, CA, CCN 057679
  • Enloe Medical Center Home Health Agency Home health agency, Chico, CA, CCN 057661
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170831002052 CA Practitioner - Nurse Practitioner 6204134844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
123438OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Mar 8, 2021 Accepting new patients
Ampla Health Current Accepting new patients
Icarepro of Texas, PA PastSince Mar 28, 2016 Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc PastSince Nov 1, 2020 Accepting new patients
Ampla Health Past Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. PastSince Jun 22, 2021 Accepting new patients

Locations

89 Putnam Way
Arbuckle, CA 95912
Phone (530) 476-2200

680 Cohasset Rd
Chico, CA 95926
Phone (530) 342-4395

285 Cohasset Rd
Chico, CA 95926
Phone (530) 342-6065

555 Fremont St
Colusa, CA 95932
Phone (530) 458-5165

520 Kentucky St
Gridley, CA 95948
Phone (530) 846-6231

7981 Highway 99E
Los Molinos, CA 96055
Phone (530) 384-4010

4941 Olivehurst Ave
Olivehurst, CA 95961
Phone (530) 743-4611

1211 Cortina Dr
Orland, CA 95963
Phone (530) 865-5544

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

931 Market St
Yuba City, CA 95991
Phone (530) 671-8820

Interoperability endpoints

  • Direct secure messaging: mitra.delshad@ampla.eclinicaldirectplus.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 123438 OK
Family Nurse Practitioner 363LF0000X A004603 AR
Family Nurse Practitioner 363LF0000X 95004787 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

680 Cohasset Rd
Chico, CA 95926-2213

Mailing address

PO Box Ad
Yuba City, CA 95992-1396
Phone (800) 313-0111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2021.

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1659735637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX AD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959921396",
            "telephone_number": "800-313-0111",
            "fax_number": "530-751-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262213",
            "telephone_number": "530-342-4395",
            "fax_number": "530-894-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELSHAD",
        "first_name": "MITRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "123438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004603",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.