NPIMap

Organization Active NPI

Northstate Cardiology Consultants

  • Medical Physician Assistant
  • Chico, CA
National Provider Identifier
1922419860
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 51596 Issued in CA
Legal business name
NORTHSTATE CARDIOLOGY CONSULTANTS
Practice address
198 Cohasset Rd
Chico, CA 95926-2202
Phone
(530) 342-0123
Fax
(530) 342-6475
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Alexandra L Shand
Title
Manager
Phone
(530) 342-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X PA 51596 CA Primary

Addresses

Primary practice location

198 Cohasset Rd
Chico, CA 95926-2202

Mailing address

198 Cohasset Rd
Chico, CA 95926-2202
Phone (530) 342-0123

Other identifiers 1

IdentifierTypeStateIssuer
51596OtherCADEPT OF CONSUMER AFFAIRS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1922419860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262202",
            "telephone_number": "530-342-0123",
            "fax_number": "530-342-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262202",
            "telephone_number": "530-342-0123",
            "fax_number": "530-342-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTATE CARDIOLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "SHAND",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "530-342-0123"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 51596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF CONSUMER AFFAIRS",
            "identifier": "51596",
            "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 May 14, 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.

Verify at the official NPI Registry.