Individual provider Active NPI

Mark S Garrison, DO

  • Obstetrics & Gynecology Physician
  • Chico, CA
National Provider Identifier
1801881503
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A9268 Issued in CA
Practice address
1025 Village LN
Chico, CA 95926-2812
Phone
(530) 566-0132
Fax
(530) 566-1682
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A9268 CA Primary
Family Medicine Physician 207Q00000X 20A9268 CA

Addresses

Primary practice location

1025 Village LN
Chico, CA 95926-2812

Mailing address

702 Mangrove Ave
PMB 313
Chico, CA 95926-3948
Phone (530) 566-0132

Other identifiers 3

IdentifierTypeStateIssuer
160035735OtherRAILROAD MEDICARE
20A9268OtherCACALIF LICENSE
00AX92680MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000319 CA Practitioner - Obstetrics/GynecologyPractitioner - General Practice 6608976634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

1665 Esplanade
Chico, CA 95926-3312
Phone (530) 895-0423

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3008OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Medical Center, LLC CurrentSince Dec 7, 2023 Accepting new patients
Enloe Medical Center CurrentSince Nov 1, 2014 Accepting new patients
Enloe Medical Center Obstetrics & Gynecology CurrentSince Nov 1, 2014 Accepting new patients
Glenn Medical Center, LLC CurrentSince Jul 1, 2006 Accepting new patients
Glenn Medical Center, LLC CurrentSince Jul 1, 2006 Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

1405 Magnolia Ave
#A
Chico, CA 95926
Phone (530) 332-5080

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

1665 Esplanade
Chico, CA 95926
Phone (530) 332-5070

1133 W Sycamore St
Willows, CA 95988
Phone (530) 934-1800

Interoperability endpoints

  • Direct secure messaging: mgarrison15244@enloedirect.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1801881503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 MANGROVE AVE",
            "address_2": "PMB 313",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263948",
            "telephone_number": "530-566-0132",
            "fax_number": "530-566-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 VILLAGE LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262812",
            "telephone_number": "530-566-0132",
            "fax_number": "530-566-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A9268",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160035735",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIF LICENSE",
            "identifier": "20A9268",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX92680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.