Organization Active NPI

Chico Immediate Care Medical Center, Inc.

Doing business as Premiere Primary Care

  • Clinic/Center
  • Chico, CA
National Provider Identifier
1669884250
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHICO IMMEDIATE CARE MEDICAL CENTER, INC.
Doing business as
Premiere Primary Care
Practice address
251 Cohasset Rd Ste 300
Chico, CA 95926-2235
Phone
(530) 891-1676
NPI assigned
May 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Bradley Smith, M.D.NPI 1932248036
Title
Ceo/President
Phone
(530) 891-1676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

251 Cohasset Rd Ste 300
Chico, CA 95926-2235

Mailing address

376 Vallombrosa Ave
Chico, CA 95926-3900
Phone (530) 891-1676

Other names 1

  • Premiere Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

1361 Cortina Dr
Ste A
Orland, CA 95963
Phone (530) 865-3400

5875 Clark Rd
Paradise, CA 95969
Phone (530) 875-4330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1669884250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 VALLOMBROSA AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263900",
            "telephone_number": "530-891-1676",
            "fax_number": "530-891-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 COHASSET RD STE 300",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262235",
            "telephone_number": "530-891-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICO IMMEDIATE CARE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "530-891-1676",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premiere Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 11, 2014; 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.