Active NPI
Michael Jackson Little, MD
- Psychiatry Physician
- Paradise, CA
National Provider Identifier
1952393845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G34022
- Practice address
- 5974 Pentz Rd
Feather River Hospital - Canyon View Clinic
Paradise, CA 95969-5509 - Phone
- (530) 872-2000
- Fax
- (530) 876-2164
- NPI assigned
- Aug 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00038113 | WA | |
| Psychiatry Physician | 2084P0800X | G34022 | CA | Primary |
Addresses
Primary practice location
5974 Pentz Rd
Feather River Hospital - Canyon View Clinic
Paradise, CA 95969-5509
Mailing address
321 Burden Ter
Paradise, CA 95969-5710
Phone (530) 872-1035
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 |
|---|---|---|---|
| G34022 | CA | MD | Psychiatry Physician |
| MD00038113 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1952393845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 BURDEN TER",
"city": "PARADISE",
"state": "CA",
"postal_code": "959695710",
"telephone_number": "530-872-1035",
"fax_number": "360-678-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5974 PENTZ RD",
"address_2": "FEATHER RIVER HOSPITAL - CANYON VIEW CLINIC",
"city": "PARADISE",
"state": "CA",
"postal_code": "959695509",
"telephone_number": "530-872-2000",
"fax_number": "530-876-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "MICHAEL",
"middle_name": "JACKSON",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00038113",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G34022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paradise, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.