Organization Active NPI

North Valley Gastroenterology Medical Group

  • Specialist
  • Yuba City, CA
National Provider Identifier
1780724344
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00G545060MedicaidCA

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.