Active NPI
Patricia Diana Chico, M.D.
- Family Medicine Physician
- Eureka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A154735
- Practice address
- 2350 Buhne St Ste a
Eureka, CA 95501-3205 - Phone
- (707) 443-4593
- Fax
- (707) 269-7116
- NPI assigned
- Mar 27, 2012
- Last updated
- Aug 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036.137560 | IL | |
| Family Medicine Physician | 207Q00000X | A154735 | CA | Primary |
Addresses
Primary practice location
2350 Buhne St Ste a
Eureka, CA 95501-3205
Mailing address
670 9TH St Ste 203
Arcata, CA 95521-6249
Phone (707) 826-8633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
132 Mee Thee-Uh Rd
Fort Bidwell, CA 96112-0247
Phone (530) 279-6194
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154735 | CA | MD | Family Medicine Physician |
| 036.137560 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwoods Rural Health Center Inc. | Current | Accepting new patients |
Interoperability endpoints
- patricia.chico.p1@direct.rrhc.nextgenshare.com
- patricia.chico.p1@direct.warnermountainihp.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Clinic/Center
- Redway, CA
- NPI 1235206087
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Modoc Medical Center
- Critical Access Hospital
- Alturas, CA
- NPI 1487669032
-
dba Modoc Medical Center
- Rural Health Clinic/Center
- Alturas, CA
- NPI 1487764064
Hospital
-
- Critical Access Hospital
- Cedarville, CA
- NPI 1801973052
-
dba Lake District Hospital
- Critical Access Hospital
- Lakeview, OR
- NPI 1376698522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1801162565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 9TH ST STE 203",
"city": "ARCATA",
"state": "CA",
"postal_code": "955216249",
"telephone_number": "707-826-8633",
"fax_number": "707-826-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 BUHNE ST STE A",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013205",
"telephone_number": "707-443-4593",
"fax_number": "707-269-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHICO",
"first_name": "PATRICIA",
"middle_name": "DIANA",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-27",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.137560",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A154735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.