Active NPI
CH Specialty Services Ca PC
- Internal Medicine Physician
- Roseville, CA
National Provider Identifier
1730888041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CH SPECIALTY SERVICES CA PC
- Practice address
- 1031 Roseville Pkwy
Roseville, CA 95678-6279 - Phone
- (337) 408-0797
- NPI assigned
- Feb 24, 2023
- Last updated
- Feb 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Howard
- Title
- Sr VP of Administrative Services
- Phone
- (337) 408-0797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
1031 Roseville Pkwy
Roseville, CA 95678-6279
Mailing address
5750 Johnston St Ste 205
Lafayette, LA 70503-5345
Phone (337) 408-0797
Other practice location 1
3415 S Sepulveda Blvd Ste 1100
Los Angeles, CA 90034-7090
Phone (337) 408-0797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
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.
-
- Internal Medicine Physician
- South San Francisco, CA
- NPI 1235458092
-
- Internal Medicine Physician
- Austin, TX
- NPI 1427084763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1730888041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 JOHNSTON ST STE 205",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035345",
"telephone_number": "337-408-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 ROSEVILLE PKWY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956786279",
"telephone_number": "337-408-0797"
}
],
"practiceLocations": [
{
"address_1": "3415 S Sepulveda Blvd Ste 1100",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900347090",
"country_code": "US",
"telephone_number": "337-408-0797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CH SPECIALTY SERVICES CA PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-24",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "SR VP OF ADMINISTRATIVE SERVICES",
"authorized_official_telephone_number": "337-408-0797"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.