Active NPI
Niki L Ott, PA-C
- Medical Physician Assistant
- Truckee, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA20612
- Practice address
- 10051 Lake Ave Ste 3
Truckee, CA 96161-4870 - Phone
- (530) 587-7461
- Fax
- (530) 587-1149
- NPI assigned
- Jun 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA20612 | CA | Primary |
Addresses
Primary practice location
10051 Lake Ave Ste 3
Truckee, CA 96161-4870
Mailing address
10051 Lake Ave Ste 3
Truckee, CA 96161-4870
Phone (530) 587-7461
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
888 Lakeside VLG CMNS
Chico, CA 95928-3979
Phone (530) 332-6850
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20612 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enloe Medical Center | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Enloe Medical Center | Past | Accepting new patients |
Locations
888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800
33025 Road 159
Ivanhoe, CA 93235
Phone (559) 798-1877
501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939
305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792
201 E Lakeview Ave
Woodlake, CA 93286
Phone (559) 564-0100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCECCA
Organizations & group practices 12
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.
-
- Federally Qualified Health Center (FQHC)
- Woodlake, CA
- NPI 1164517744
-
dba Enloe Op Center Pharmacy
- Community/Retail Pharmacy
- Chico, CA
- NPI 1912949538
-
dba Enloe General & Colorectal Surgery Clinic
- Surgery Physician
- Chico, CA
- NPI 1992117592
-
- Federally Qualified Health Center (FQHC)
- Pixley, CA
- NPI 1033661558
-
- Federally Qualified Health Center (FQHC)
- Porterville, CA
- NPI 1053875484
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Federally Qualified Health Center (FQHC)
- Farmersville, CA
- NPI 1326317819
-
- Federally Qualified Health Center (FQHC)
- Goshen, CA
- NPI 1336237072
-
- Federally Qualified Health Center (FQHC)
- Springville, CA
- NPI 1386738177
-
- Federally Qualified Health Center (FQHC)
- Terra Bella, CA
- NPI 1831520048
-
dba Enloe Cardiology Services
- Cardiovascular Disease Physician
- Chico, CA
- NPI 1720099328
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1750519310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10051 LAKE AVE STE 3",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614870",
"telephone_number": "530-587-7461",
"fax_number": "530-587-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10051 LAKE AVE STE 3",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614870",
"telephone_number": "530-587-7461",
"fax_number": "530-587-1149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "NIKI",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA20612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.