Individual provider Active NPI

David William Kidwell, M.D.

  • Psychiatry Physician
  • Chico, CA
National Provider Identifier
1669611950
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G63810 Issued in CA
Practice address
560 Cohasset Rd Ste 175
Chico, CA 95926-2460
Phone
(530) 879-3824
Fax
(530) 879-3824
NPI assigned
Feb 11, 2009
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G63810 CA Primary

Addresses

Primary practice location

560 Cohasset Rd Ste 175
Chico, CA 95926-2460

Mailing address

560 Cohasset Rd Ste 175
560 Cohasset Rd Ste 175
Chico, CA 95926-2460
Phone (530) 879-3824

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000246 CA Practitioner - Psychiatry 8325079395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Indiana University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of ButteGroup PAC ID 3779489356, 29 clinicians

Practice addresses (Care Compare)

560 Cohasset Rd
Suite 175
Chico, CA 95926-2460
Phone (530) 891-2784

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G63810CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Butte CurrentSince Dec 21, 2020 Accepting new patients
County of Butte Current Accepting new patients
County of Butte CurrentSince Dec 21, 2020 Accepting new patients

Locations

560 Cohasset Rd
Ste 175
Chico, CA 95926
Phone (530) 538-7705

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669611950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 COHASSET RD STE 175",
            "address_2": "560 COHASSET RD STE 175",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262460",
            "telephone_number": "530-879-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 COHASSET RD STE 175",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262460",
            "telephone_number": "530-879-3824",
            "fax_number": "530-879-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDWELL",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G63810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.