Active NPI
Jeffrey Winham Swenson, M.D.
- Emergency Medicine Physician
- Chico, CA
National Provider Identifier
1881605913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G57266
- Practice address
- 888 Lakeside VLG Commons
Chico, CA 95928-3979 - Phone
- (530) 332-6850
- Fax
- (530) 893-6857
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G57266 | CA | Primary |
Addresses
Primary practice location
888 Lakeside VLG Commons
Chico, CA 95928-3979
Mailing address
1531 Esplanade
Attn: Finance
Chico, CA 95926-3310
Phone (530) 332-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G572660 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G57266 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enloe Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Chico, CA
- NPI 1720099328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1881605913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 ESPLANADE",
"address_2": "ATTN: FINANCE",
"city": "CHICO",
"state": "CA",
"postal_code": "959263310",
"telephone_number": "530-332-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 LAKESIDE VLG COMMONS",
"city": "CHICO",
"state": "CA",
"postal_code": "959283979",
"telephone_number": "530-332-6850",
"fax_number": "530-893-6857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "JEFFREY",
"middle_name": "WINHAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G57266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G572660",
"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 Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.