Charles P Vaclavik, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A4121 Issued in CA

Practice address

680 Cohasset Rd
Chico, CA 95926-2213

Phone

(530) 342-4395

Fax

(530) 894-2325

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1730144783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX A D",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959921396",
            "telephone_number": "530-751-3769",
            "fax_number": "530-751-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262213",
            "telephone_number": "530-342-4395",
            "fax_number": "530-894-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACLAVIK",
        "first_name": "CHARLES",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30052000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Joseph Urban
• Andres Urzua Jr.
• Jeremy M Utter
• Jonathan J Uy, DPM
• V&L Ventures Physical Therapy, Inc
• Dragana Vagic, M.D.
• Gerard R. Valcarenghi, M.D.
• Maurice Valcarenghi, MD
• Emilia Valdez
• Zachary Patrick Valdez

• Family Medicine Physician in Chico, CA
• Providers in Chico, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.