EUGENE VICTOR MOFFETT (NPI# 1720071061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720071061 |
Entity Type | Individual |
Full Name | EUGENE VICTOR MOFFETT |
Credential | M.D. |
Practice Address |
185 E 7th Ave Suite A Chico CA 95926-3356 |
Practice Telephone | 5303430200 |
Practice Fax Number | 5303451881 |
Mailing Telephone | 5303430200 |
Mailing Fax Number | 5303451881 |
Enumeration Date | 2005-08-23 |
Last Update Date | 2014-02-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
G28408 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G284080 | 05 |
Street Address |
185 E 7TH AVE SUITE A |
City | CHICO |
State | CA |
Zip Code | 95926-3356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356647044 | Prajapathi Reddy Lakireddy | Internal Medicine | 185 E 7th Ave, Chico, CA 95926-3356 | 2011-01-28 |
1609100817 | Jessica Sheridan-babare | Internal Medicine | 185 E 7th Ave, Chico, CA 95926 | 2009-09-22 |
1295728392 | Christopher Scott Massa | Internal Medicine | 185 E 7th Ave, Suite B, Chico, CA 95926-3356 | 2005-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
Find all providers in zip 95926 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295728392 | Christopher Scott Massa | Internal Medicine | 185 E 7th Ave, Suite B, Chico, CA 95926-3356 | 2005-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.