NPIMap

Organization Active NPI

Vimali Paul, MD

  • Internal Medicine Physician
  • Chico, CA
National Provider Identifier
1790861490
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A53520 Issued in CA
Legal business name
VIMALI PAUL, MD
Practice address
85 Declaration Dr
Suite 110
Chico, CA 95973-4902
Phone
(530) 894-6600
Fax
(530) 894-1321
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Vimali Paul, MDNPI 1700881448
Title
MD, Ceo
Phone
(530) 894-6600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A53520 CA Primary

Addresses

Primary practice location

85 Declaration Dr
Suite 110
Chico, CA 95973-4902

Mailing address

85 Declaration Dr
Suite 110
Chico, CA 95973-4902
Phone (530) 894-6600

Other identifiers 3

IdentifierTypeStateIssuer
110174445OtherMEDICARE RAILROAD #
DG8519OtherMEDICARE RAILROAD GROUP #
00A535200MedicaidCA

National Provider Directory

National Provider Directory

Locations

85 Declaration Dr
Chico, CA 95973

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1790861490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 DECLARATION DR",
            "address_2": "SUITE 110",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734902",
            "telephone_number": "530-894-6600",
            "fax_number": "530-894-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 DECLARATION DR",
            "address_2": "SUITE 110",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734902",
            "telephone_number": "530-894-6600",
            "fax_number": "530-894-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIMALI PAUL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "VIMALI",
        "authorized_official_title_or_position": "MD, CEO",
        "authorized_official_telephone_number": "530-894-6600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "110174445",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP #",
            "identifier": "DG8519",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A535200",
            "state": "CA"
        }
    ],
    "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 5, 2008; 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.