Ronald G Chambers Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G27170 Issued in CA

Legal business name

RONALD G CHAMBERS INC

Practice address

4174 Ashby CT
Shasta Lake, CA 96019-9215

Phone

(530) 275-3094

Fax

(530) 275-0803

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald G Chambers Sr., M.D.

Title

President, Corporation

Phone

(530) 275-3094

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1861616567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4174 ASHBY CT",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960199215",
            "telephone_number": "530-275-3094",
            "fax_number": "530-275-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4174 ASHBY CT",
            "city": "SHASTA LAKE",
            "state": "CA",
            "postal_code": "960199215",
            "telephone_number": "530-275-3094",
            "fax_number": "530-275-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD G CHAMBERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT, CORPORATION",
        "authorized_official_telephone_number": "530-275-3094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G27170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY NUMBER",
            "identifier": "00G271700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI ORGANIZ #",
            "identifier": "1861616567",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G271700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0714372",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP PPIN # FOR GROUP",
            "identifier": "ZZZ02677Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "G27170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP UPIN FOR GROUP",
            "identifier": "Q71604",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861616567",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "00G271700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fuey Clarie Phan
• Elaine Porter, MD
• Jennifer Lynn Ratliff, PT
• Redding Rancheria
• Gloria Richmond, LMFT
• Shasta Community Health Center
• Shasta Lake Chiropractic
• Shasta Lake Drug Store Inc
• Shasta Lake Physical Therapy
• Wallace Jay Spinks

• Family Medicine Physician in Shasta Lake, CA
• Providers in Shasta Lake, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.