Organization Active NPI

Patrick Tedford, MD

  • Pediatrics Physician
  • Chico, CA
National Provider Identifier
1841376464
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Patrick Tedford, MDNPI 1770589517
Title
Ceo, MD
Phone
(530) 342-0502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A24629 CA Primary

Addresses

Primary practice location

643 W East Ave
Chico, CA 95926-7201

Mailing address

643 W East Ave
Chico, CA 95926-7201
Phone (530) 342-0502

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "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 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.