Patrick Tedford, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A24629 Issued in CA

Legal business name

PATRICK TEDFORD, MD

Practice address

643 W East Ave
Chico, CA 95926-7201

Phone

(530) 342-0502

Fax

(530) 342-2978

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Patrick Tedford, MD

Title

Ceo, MD

Phone

(530) 342-0502

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1841376464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267201",
            "telephone_number": "530-342-0502",
            "fax_number": "530-342-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 W EAST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267201",
            "telephone_number": "530-342-0502",
            "fax_number": "530-342-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK TEDFORD, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "TEDFORD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO, MD",
        "authorized_official_telephone_number": "530-342-0502",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A24629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A246290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chandra M. Pasamonte, D.P.M.
• Timothy Passavant
• Suresh Kumar Reddy Pasya, M.D.
• Ranjan Pathak, M.D.
• Pathology Sciences Medical Group
• Caitlyn Maisy Patterson, ACSW
• Carolyn Mary Paul, CNM,RN
• Vimali Paul, M.D.
• Reanna Michele Paulo
• James Peter Paulos, RN

• Pediatrics Physician in Chico, CA
• Providers in Chico, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.