NORTHSTATE PLASTIC SURGERY CENTER (NPI# 1831644673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831644673 |
| Entity Type | Organization |
| Organization Name | NORTHSTATE PLASTIC SURGERY CENTER |
| Practice Address |
1260 East Ave Chico CA 95926-1021 |
| Mailing Address |
Po Box 8505 Chico CA 95927-8505 |
| Practice Telephone | 5303455900 |
| Practice Fax Number | 5303455995 |
| Mailing Telephone | 5303455900 |
| Mailing Fax Number | 5303455995 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |
| Authorized Official Name | KEVIN MYERS (PRESIDENT) |
| Authorized Official Telephone | 5303455900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHSTATE PLASTIC SURGERY ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1260 EAST AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063825552 | Amy E Rieschick | Registered Nurse | 1260 East Ave, Chico, CA 95926-1021 | 2014-06-03 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174039036 | Deer Creek Surgery Center LLC | Clinic/Center | 127 Raley Blvd., Chico, CA 95928 | 2017-12-14 |
| 1073713004 | Advanced Eye Surgery Center | Clinic/Center | 627 W. East Ave, Chico, CA 95926 | 2007-07-18 |
| 1164577219 | L Richard Morgan M.d. | Clinic/Center | 18 Williamsburg Ln, Chico, CA 95926-2225 | 2007-01-25 |
| 1164421004 | Chico Surgery Center Lp | Clinic/Center | 615 W East Ave, Chico, CA 95926-7201 | 2005-07-20 |
| 1306475645 | Norcal Anesthesia and Pain Affiliates, Inc. | Clinic/Center | 615 W East Ave, Chico, CA 95926-7201 | 2020-04-08 |
| 1811491624 | Park West Surgical Associates, Inc. | Clinic/Center | 127 Raley Blvd., Chico, CA 95928 | 2018-03-19 |
| 1881132470 | Norcal Anesthesia and Pain Affiliates, Inc. | Clinic/Center | 615 W East Ave, Chico, CA 95926-7201 | 2017-02-03 |
| 1477897247 | L. Richard Morgan, M.d., Inc. | Clinic/Center | 18 Williamsburg Ln, Chico, CA 95926-2225 | 2012-11-19 |
| 1538487608 | Interventional Pain Solutions PC | Clinic/Center | 10 Governors Ln, Chico, CA 95926-1991 | 2010-05-13 |
| 1366456618 | Skyway Surgery Center. LLC | Clinic/Center | 121 Raley Blvd, Chico, CA 95928-8347 | 2006-07-29 |
| Find all providers in CHICO | ||||
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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.