Organization Active NPI

MCH Medical Group

  • Primary Care Clinic/Center
  • Chico, CA
National Provider Identifier
1902302433
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MCH MEDICAL GROUP
Practice address
100 Independence Circle
Chico, CA 95973
Phone
(530) 899-9038
Fax
(530) 899-0142
NPI assigned
Apr 3, 2018
Last updated
Apr 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Gregg Raymon Florentin
Title
Coo
Phone
(571) 422-9407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

100 Independence Circle
Chico, CA 95973

Mailing address

100 Independence Circle
Chico, CA 95973
Phone (530) 899-9038

National Provider Directory

National Provider Directory

Locations

100 Independence Cir
Chico, CA 95973
Phone (530) 899-0130

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1902302433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE CIRCLE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95973",
            "telephone_number": "530-899-9038",
            "fax_number": "530-899-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE CIRCLE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95973",
            "telephone_number": "530-899-9038",
            "fax_number": "530-899-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "FLORENTIN",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "RAYMON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "571-422-9407"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "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 Apr 3, 2018; 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.