Organization Active NPI

Chico Podiatry Group

  • Podiatrist
  • Chico, CA
National Provider Identifier
1942374566
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CHICO PODIATRY GROUP
Practice address
2103 Forest Ave
Chico, CA 95928-7680
Phone
(530) 895-3668
Fax
(530) 895-1248
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Ms. Margaret June Dupree
Title
Office Manager
Phone
(530) 895-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

2103 Forest Ave
Chico, CA 95928-7680

Mailing address

2103 Forest Ave
Chico, CA 95928-7680
Phone (530) 895-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070330000616 CA Part B Supplier - Clinic/Group Practice 3072617067 Receives reassigned benefits from 4 practitioners
Practice locations: Chico, CA
O20100930021285 CA DME Supplier - Physician - General Practice 3072617067 Practice locations: Chico, CA

National Provider Directory

National Provider Directory

Locations

2103 Forest Ave
Chico, CA 95928
Phone (530) 895-3668

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1942374566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 FOREST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287680",
            "telephone_number": "530-895-3668",
            "fax_number": "530-895-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 FOREST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287680",
            "telephone_number": "530-895-3668",
            "fax_number": "530-895-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICO PODIATRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-895-3668",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "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 Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.