Organization Active NPI

Collaborative Health Ca

  • Family Medicine Physician
  • Chico, CA
National Provider Identifier
1801901798
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COLLABORATIVE HEALTH CA
Practice address
572 Rio Lindo Ave Ste 104
Chico, CA 95926-1851
Phone
(530) 899-1627
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Ms. Sally Jo Vertolli, FNPNPI 1265519060
Title
Vice-President
Phone
(530) 899-1627

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

572 Rio Lindo Ave Ste 104
Chico, CA 95926-1851

Mailing address

Ste 104
572 Rio Lindo Ave
Chico, CA 95926-1851
Phone (530) 899-1627

National Provider Directory

National Provider Directory

Locations

572 Rio Lindo Ave
Chico, CA 95926
Phone (530) 891-4400

572 Rio Lindo Ave
Ste 104
Chico, CA 95926
Phone (530) 570-1985

Practitioners & affiliated clinicians

Practitioners 5

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1801901798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STE 104",
            "address_2": "572 RIO LINDO AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261851",
            "telephone_number": "530-899-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 RIO LINDO AVE STE 104",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261851",
            "telephone_number": "530-899-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE HEALTH CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "VERTOLLI",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "530-899-1627",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 12, 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.