Northern Valley Indian Health, Inc
Organization Active NPI Clinic/Center · Chico, CA
NPI 1740634286 · NPPES record last updated Apr 22, 2016
Key facts
- NPI
- 1740634286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- NORTHERN VALLEY INDIAN HEALTH, INC
- Practice address
- 500 Cohasset Rd Ste 15
Chico, CA 95926-2260 - Phone
- (530) 433-2500
- Fax
- (530) 433-2510
- NPI assigned
- Apr 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Theresa Cameron
- Title
- Account Services Manager
- Phone
- (530) 330-8800
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 6
Practitioners 46
-
Edward Law, D.P.M.
-
Maggie Jane Denise Anaya, LMFT
-
Lidia Atilano, LCSW
-
Stacy J Berrong, DO
-
Brett Dennis Brown, PA-C
-
Michael Campbell, MA, MFTI
-
Rob Xavier Abille Cruz, NP-C
-
Rajpreet S Dhesi, MD
-
Heather Lynn Garrido, PA-C
-
Luca Jones, MD
-
Nicholas B Mendoza, LCSW
-
Jessica Lynn Milano, LCSW
-
Mauro Moreno, PAC
-
Jason Mower, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, CA
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Northern Valley Indian Health Inc |
Federally qualified health center | Operational/Managerial Control | Oct 1, 1991 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140429000114 | TX | Part B Supplier - Clinic/Group Practice | 1557493723 |
Receives reassigned benefits from 102 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chico, CA; Willows, CA |
| O20180515000023 | CA | Part a Provider - Indian Health Services Facility | 1557493723 | Practice locations: Chico, CA |
National Provider Directory
- Tax ID family
- Northern Valley Indian
Locations
500 Cohasset Rd
Ste 15
Chico, CA 95926
Phone (530) 433-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
500 Cohasset Rd Ste 15
Chico, CA 95926-2260
Mailing address
207 N Butte St
Willows, CA 95988-2803
Phone (530) 330-8800
Other providers in Chico, CA
- Northern Valley Catholic Social Services, Inc.
- Northern Valley Indian Health
- Northern Valley Indian Health Inc
- Northern Valley Indian Health, Inc
- Northern Valley Indian Health, Inc
- Northern Valley Indian Health, Inc
- Cheryl Northrop
- Northstate Anesthesiology Partners
- Northstate Anesthesiology Partners a Medical Corporation
- Northstate Anesthesiology Partners a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.