Individual provider Active NPI

Nathan Fleming, MD

  • Pediatrics Physician
  • Chico, CA
National Provider Identifier
1679864912
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C191507 Issued in CA
Practice address
1515 Springfield Dr Ste 175
Chico, CA 95928-5398
Phone
(530) 781-1440
Fax
(530) 342-1483
NPI assigned
Apr 20, 2011
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 62546-20 WI
Pediatrics Physician 208000000X 60207 MN
Pediatrics Physician 208000000X C191507 CA Primary

Addresses

Primary practice location

1515 Springfield Dr Ste 175
Chico, CA 95928-5398

Mailing address

1515 Springfield Dr Ste 175
Chico, CA 95928-5398
Phone (530) 781-1440

Other identifiers 1

IdentifierTypeStateIssuer
1679864912MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170224001837 WI Practitioner - Pediatric Medicine 0446498133 Reassigns benefits to 3 organizations
I20240122002760 CA Practitioner - Pediatric Medicine 0446498133 Reassigns benefits to 2 organizations
I20240327003221 TX Practitioner - Pediatric Medicine 0446498133 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jun 17, 2024 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Jan 23, 2017 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Northern Valley Indian Health Inc CurrentSince Feb 12, 2024 Accepting new patients
Thedacare, Incorporated CurrentSince Jul 3, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 17, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jan 23, 2017 Accepting new patients
Thedacare, Incorporated CurrentSince Jul 3, 2017 Accepting new patients
Enloe Medical Center CurrentSince Dec 18, 2023 Accepting new patients
Northern Valley Indian Health Inc CurrentSince Feb 12, 2024 Accepting new patients
Gundersen Clinic LTD CurrentSince Jan 23, 2017 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jan 23, 2017 Accepting new patients
Enloe Medical Center CurrentSince Dec 18, 2023 Accepting new patients

Locations

1515 Springfield Dr
Chico, CA 95928
Phone (530) 781-1440

1515 Springfield Dr
Ste 175
Chico, CA 95928
Phone (530) 781-1440

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

122 E College Ave
Appleton, WI 54911
Phone (920) 996-3264

2701 E Enterprise Ave
Appleton, WI 54913
Phone (920) 954-2551

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1679864912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SPRINGFIELD DR STE 175",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285398",
            "telephone_number": "530-781-1440",
            "fax_number": "530-342-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SPRINGFIELD DR STE 175",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285398",
            "telephone_number": "530-781-1440",
            "fax_number": "530-342-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "NATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "62546-20",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "60207",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C191507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679864912",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.