Organization Active NPI

DMJ Medical Services, Inc

  • Gynecology Physician
  • Chico, CA
National Provider Identifier
1831352715
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
20A9268 Issued in CA
Legal business name
DMJ MEDICAL SERVICES, INC
Practice address
1025 Village LN
Chico, CA 95926-2812
Phone
(530) 566-0132
Fax
(530) 566-1682
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Mark S. Garrison, DO
Title
President
Phone
(530) 566-0132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 20A9268 CA Primary

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 2

IdentifierTypeStateIssuer
DP0994OtherCARAILROAD MEDICARE
1831352715MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1831352715",
    "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": {
        "organization_name": "DMJ MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-566-0132",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "20A9268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP0994",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831352715",
            "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 Oct 17, 2011; 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.