Active NPI
Jane T Chic, P.A.-C
- Physician Assistant
- Napa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 21705
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21705 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | 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
- 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.
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Ambulatory Surgical Clinic/Center
- Vacaville, CA
- NPI 1003015843
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.