NPIMap

Organization Active NPI

Rideout Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Yuba City, CA
National Provider Identifier
1740530385
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RIDEOUT MEDICAL ASSOCIATES, INC.
Practice address
945 Shasta St Ste 150
Yuba City, CA 95991-4124
Phone
(530) 751-5140
NPI assigned
Sep 11, 2012
Last updated
Oct 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Chris Champlin
Title
Secratary
Phone
(530) 751-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

945 Shasta St Ste 150
Yuba City, CA 95991-4124

Mailing address

PO Box 3067
Yuba City, CA 95992-3067
Phone (530) 751-4044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130103000187 CA Part B Supplier - Clinic/Group Practice 1658524467 Receives reassigned benefits from 19 practitioners
Practice locations: Marysville, CA; Yuba City, CA

National Provider Directory

National Provider Directory

Locations

414 G St
Ste 208
Marysville, CA 95901
Phone (530) 741-1122

724 4TH St
Marysville, CA 95901

726 4th St
Ste 1
Marysville, CA 95901

726 4th St
Ste 100
Marysville, CA 95901

11386 Pleasant Valley Rd
Spc Care
Penn Valley, CA 95946
Phone (530) 205-9850

1215 Plumas St
Ste 1200
Yuba City, CA 95991
Phone (530) 671-6148

1531 Plumas Ct
Ste C
Yuba City, CA 95991
Phone (530) 821-2020

481 Plumas Blvd
Ste 104
Yuba City, CA 95991
Phone (530) 674-2434

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1740530385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3067",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959923067",
            "telephone_number": "530-751-4044",
            "fax_number": "530-751-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SHASTA ST STE 150",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914124",
            "telephone_number": "530-751-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDEOUT MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "CHAMPLIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "SECRATARY",
        "authorized_official_telephone_number": "530-751-4242"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.