Active NPI
Neil Brandan Stark DO Inc
- Family Medicine Physician
- Chico, CA
National Provider Identifier
1750171021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NEIL BRANDAN STARK DO INC
- Practice address
- 127 Raley Blvd Ste 100
Chico, CA 95928-8347 - Phone
- (530) 514-0904
- NPI assigned
- May 9, 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
- Neil Brandan Stark
- Title
- Owner
- Phone
- (530) 514-0904
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X |
Addresses
Primary practice location
127 Raley Blvd Ste 100
Chico, CA 95928-8347
Mailing address
PO Box 2802
Bellingham, WA 98227-2802
Phone (530) 514-0904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Chico, CA
- NPI 1144616251
-
- Nurse Practitioner
- Chico, CA
- NPI 1730277393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780963200000",
"number": "1750171021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2802",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982272802",
"telephone_number": "530-514-0904",
"fax_number": "866-493-2923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 RALEY BLVD STE 100",
"city": "CHICO",
"state": "CA",
"postal_code": "959288347",
"telephone_number": "530-514-0904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIL BRANDAN STARK DO INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A",
"authorized_official_last_name": "STARK",
"authorized_official_first_name": "NEIL",
"authorized_official_middle_name": "BRANDAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "530-514-0904"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.