Organization Active NPI

Chico Pediatric Medical Group

  • Pediatrics Physician
  • Chico, CA
National Provider Identifier
1689610123
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G22667 Issued in CA
Legal business name
CHICO PEDIATRIC MEDICAL GROUP
Practice address
10 Governors LN
Chico, CA 95926-1991
Phone
(530) 343-8522
Fax
(530) 343-3719
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Dr. John Asarian, MD
Title
Ceo
Phone
(530) 343-8522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X G22667 CA Primary

Addresses

Primary practice location

10 Governors LN
Chico, CA 95926-1991

Mailing address

10 Governors LN
Chico, CA 95926-1991
Phone (530) 343-8522

Other identifiers 1

IdentifierTypeStateIssuer
00G226671MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1689610123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GOVERNORS LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261991",
            "telephone_number": "530-343-8522",
            "fax_number": "530-343-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GOVERNORS LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261991",
            "telephone_number": "530-343-8522",
            "fax_number": "530-343-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICO PEDIATRIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "ASARIAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-343-8522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G22667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G226671",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 20, 2008; 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.