NPIMap

Organization Active NPI

Enloe Medical Center

Doing business as Enloe Cardiology Services

  • Cardiovascular Disease Physician
  • Chico, CA
National Provider Identifier
1720099328
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ENLOE MEDICAL CENTER
Doing business as
Enloe Cardiology Services
Practice address
185 E 7TH Ave Ste a
Chico, CA 95926-3356
Phone
(530) 332-4400
NPI assigned
Aug 10, 2006
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ENLOE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Mr. Kevin Woodward
Title
VP/Cfo
Phone
(530) 332-6733

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X NU
Interventional Cardiology Physician 207RI0011X NU
Nuclear Cardiology Physician 207UN0901X NU

Addresses

Primary practice location

185 E 7TH Ave Ste a
Chico, CA 95926-3356

Mailing address

1531 Esplanade
Attn: Finance
Chico, CA 95926-3310
Phone (530) 332-7300

Other practice location 1

1430 Esplanade Ste 6
Chico, CA 95926-3366
Phone (530) 332-4400

Other practice location 2

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7300

Other practice location 3

181 E 7th Ave
Chico, CA 95926-3304
Phone (530) 332-4400

Other identifiers 3

IdentifierTypeStateIssuer
C40478OtherCAMEDICARE RAILROAD
HSP40039FMedicaidCA
CK2203OtherCAMEDICARE RAILROAD

Other names 1

  • Enloe Cardiology Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000404 CA Part B Supplier - Clinic/Group Practice 9739092388 Receives reassigned benefits from 242 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chico, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Enloe General Colorectal S

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6325

185 E 7th Ave
Ste A
Chico, CA 95926
Phone (530) 332-4400

Practitioners & affiliated clinicians

Practitioners 358

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.

View all 358

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1720099328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 ESPLANADE",
            "address_2": "ATTN: FINANCE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263310",
            "telephone_number": "530-332-7300",
            "fax_number": "530-893-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E 7TH AVE STE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263356",
            "telephone_number": "530-332-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Esplanade Ste 6",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263366",
            "country_code": "US",
            "telephone_number": "530-332-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1531 Esplanade",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263310",
            "country_code": "US",
            "telephone_number": "530-332-7300",
            "fax_number": "530-893-6853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 E 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263304",
            "country_code": "US",
            "telephone_number": "530-332-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENLOE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENLOE MEDICAL CENTER",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "530-332-6733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "C40478",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40039F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK2203",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enloe Cardiology Services",
            "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 Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.