Individual provider Active NPI

Iesha Iwobi, PA-C

  • Physician Assistant
  • Chico, CA
National Provider Identifier
1750041265
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61409 Issued in CA
Practice address
680 Cohasset Rd
Chico, CA 95926-2213
Phone
(530) 342-4395
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61409 CA Primary

Addresses

Primary practice location

680 Cohasset Rd
Chico, CA 95926-2213

Mailing address

680 Cohasset Rd
Chico, CA 95926-2213

Other practice location 1

929 W Sunset Blvd Ste 21
St George, UT 84770-4867
Phone (385) 446-0018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621002116 CA Practitioner - Physician Assistant 5698133734 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA61409CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Jul 1, 2024 Accepting new patients
Ampla Health Past Accepting new patients
Ampla Health Past Accepting new patients

Locations

89 Putnam Way
Arbuckle, CA 95912
Phone (530) 476-2200

680 Cohasset Rd
Chico, CA 95926
Phone (530) 342-4395

285 Cohasset Rd
Chico, CA 95926
Phone (530) 342-6065

555 Fremont St
Colusa, CA 95932
Phone (530) 458-5165

520 Kentucky St
Gridley, CA 95948
Phone (530) 846-6231

7981 Highway 99E
Los Molinos, CA 96055
Phone (530) 384-4010

4941 Olivehurst Ave
Olivehurst, CA 95961
Phone (530) 743-4611

1211 Cortina Dr
Orland, CA 95963
Phone (530) 865-5544

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

931 Market St
Yuba City, CA 95991
Phone (530) 671-8820

1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1750041265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262213"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "929 W Sunset Blvd Ste 21",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847704867",
            "country_code": "US",
            "telephone_number": "385-446-0018",
            "fax_number": "385-503-3782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWOBI",
        "first_name": "IESHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA61409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.