Individual provider Active NPI

Jane T Chic, P.A.-C

  • Physician Assistant
  • Napa, CA
National Provider Identifier
1902953789
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
21705 Issued in CA
Practice address
1070 Summit Ave
Napa, CA 94559-1403
Phone
(707) 888-7659
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 21705 CA Primary

Addresses

Primary practice location

1070 Summit Ave
Napa, CA 94559-1403

Mailing address

1070 Summit Ave
Napa, CA 94559-1403
Phone (707) 888-7659

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urgentcareqvmc@sjhhandhmg.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130611000839 CA Practitioner - Physician Assistant 8224277843 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
21705CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jul 3, 2017 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 11, 2019 Accepting new patients
Providence Medical Foundation CurrentSince Jul 3, 2017 Accepting new patients
Northbay Healthcare Group CurrentSince Nov 11, 2019 Accepting new patients
Northbay Physicians Surgery Center LLC Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1621 W Imola Ave
Napa, CA 94559
Phone (707) 251-4280

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1902953789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 SUMMIT AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591403",
            "telephone_number": "707-888-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 SUMMIT AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591403",
            "telephone_number": "707-888-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIC",
        "first_name": "JANE",
        "middle_name": "T",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "21705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urgentcareqvmc@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1621 W Imola Ave",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945594721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.