Active NPI
Pam Warren, M.D.
- Diagnostic Radiology Physician
- Chico, CA
National Provider Identifier
1902859283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101046619
- Practice address
- 1702 Esplanade
Chico, CA 95926-3315 - Phone
- (530) 898-0504
- Fax
- (530) 898-9647
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101046619 | VA | Primary |
Addresses
Primary practice location
1702 Esplanade
Chico, CA 95926-3315
Mailing address
1702 Esplanade
Chico, CA 95926-3315
Phone (530) 898-0504
Other names 1
- Pam Holman
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 |
|---|---|---|---|
| 89188 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Imaging of Fredericksburg, LLC | Past | Accepting new patients | |
| Radiologic Associates of Fredericksburg LTD | Diagnostic Radiology | Past | Accepting new patients |
| Pratt Medical Center LTD | Diagnostic Radiology | Past | Accepting new patients |
| Pratt Medical Center LTD | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Radiology Clinic/Center
- Fredericksburg, VA
- NPI 1841239886
-
- Clinical Medical Laboratory
- Fredericksburg, VA
- NPI 1003840950
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1316973555
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Fredericksburg, VA
- NPI 1699711093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1902859283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 ESPLANADE",
"city": "CHICO",
"state": "CA",
"postal_code": "959263315",
"telephone_number": "530-898-0504",
"fax_number": "530-898-9647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 ESPLANADE",
"city": "CHICO",
"state": "CA",
"postal_code": "959263315",
"telephone_number": "530-898-0504",
"fax_number": "530-898-9647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "PAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101046619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAM",
"last_name": "HOLMAN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.