NPIMap

Organization Active NPI

Northstate Plastic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Chico, CA
National Provider Identifier
1831644673
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NORTHSTATE PLASTIC SURGERY CENTER
Practice address
1260 East Ave
Chico, CA 95926-1021
Phone
(530) 345-5900
Fax
(530) 345-5995
NPI assigned
Aug 22, 2016
Organization subpart
Yes
Parent organization
NORTHSTATE PLASTIC SURGERY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Kevin Myers, M.D.NPI 1982662086
Title
President
Phone
(530) 345-5900

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1260 East Ave
Chico, CA 95926-1021

Mailing address

PO Box 8505
Chico, CA 95927-8505
Phone (530) 345-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161108001949 CA Part B Supplier - Ambulatory Surgical Center 6800175274 Receives reassigned benefits from 2 practitioners
Practice locations: Chico, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Northstate Plastic Surgery CenterCCN 05C0002184
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Northstate Plastic Surgery Associates Inc

Locations

1260 East Ave
Chico, CA 95926
Phone (530) 345-5900

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1831644673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8505",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959278505",
            "telephone_number": "530-345-5900",
            "fax_number": "530-345-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261021",
            "telephone_number": "530-345-5900",
            "fax_number": "530-345-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTATE PLASTIC SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHSTATE PLASTIC SURGERY ASSOCIATES",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-345-5900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "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 Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.