Active NPI
North Valley Gastroenterology Medical Group
- Specialist
- Yuba City, CA
National Provider Identifier
1780724344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NORTH VALLEY GASTROENTEROLOGY MEDICAL GROUP
- Practice address
- 870 Shasta St
Suite 200
Yuba City, CA 95991-4152 - Phone
- (530) 671-3671
- Fax
- (530) 671-3980
- NPI assigned
- Feb 6, 2007
- 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
- Mrs. Paulette Powell, RN,CCRN
- Title
- Facility Coordinator
- Phone
- (530) 671-3671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CA | Primary |
Addresses
Primary practice location
870 Shasta St
Suite 200
Yuba City, CA 95991-4152
Mailing address
870 Shasta St
Suite 200
Yuba City, CA 95991-4152
Phone (530) 671-3671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G545060 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1780724344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 SHASTA ST",
"address_2": "SUITE 200",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959914152",
"telephone_number": "530-671-3671",
"fax_number": "530-671-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 SHASTA ST",
"address_2": "SUITE 200",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959914152",
"telephone_number": "530-671-3671",
"fax_number": "530-671-3980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH VALLEY GASTROENTEROLOGY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "PAULETTE",
"authorized_official_title_or_position": "FACILITY COORDINATOR",
"authorized_official_telephone_number": "530-671-3671",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN,CCRN"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G545060",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
- Vanessa Norris, L.V.N.
- North Airport Ride LLC
- North Valley Behavioral Health, LLC
- North Valley Behavioral Health, LLC
- North Valley Critical Care Group, Inc.
- North Valley Gastroenterology Medical Group, Inc
- North Valley Medical Group LLC
- North Valley Nephrology Inc
- North Valley Neurologic Associates
- North Valley Neurological Associates Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.