CHICO IMMEDIATE CARE MEDICAL CENTER, INC. (NPI# 1972556249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972556249 |
| Entity Type | Organization |
| Organization Name | CHICO IMMEDIATE CARE MEDICAL CENTER, INC. |
| Practice Address |
5875 Clark Rd Paradise CA 95969-4861 |
| Mailing Address |
376 Vallombrosa Ave Chico CA 95926-3900 |
| Practice Telephone | 5308775433 |
| Mailing Telephone | 5308911676 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-02-09 |
| Authorized Official Name | DAVID ELLIS (VICE PRESIDENT) |
| Authorized Official Telephone | 5308911676 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669884250 | Chico Immediate Care Medical Center, Inc. | Clinic/Center | 251 Cohasset Rd Ste 300, Chico, CA 95926-2235 | 2014-05-30 |
| 1144276296 | Chico Immediate Care Medical Center, Inc. | Clinic/Center | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2006-05-26 |
| Street Address |
5875 CLARK RD |
| City | PARADISE |
| State | CA |
| Zip Code | 95969-4861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609915719 | Marc Robert Owens | Physician Assistant | 5875 Clark Rd, Paradise, CA 95969 | 2007-02-05 |
| 1134173230 | David E Damazo | Emergency Medicine | 5875 Clark Rd, Paradise, CA 95969-4861 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234559 | Skala Chiropractic Inc | Chiropractor | 4413 Sierra Del Sol, Paradise, CA 95969 | 2019-03-19 |
| 1114463924 | Gary R Watts | Obstetrics & Gynecology | 5016 Lago Vista Way, Paradise, CA 95969 | 2017-01-18 |
| 1013367044 | Leslie Allison Bass | Registered Nurse | 1309 Nunneley Road, Paradise, CA 95969 | 2016-06-21 |
| 1457798977 | Lisa Marie Nelson | Counselor | 5910 Clark Road Suite 179, Paradise, CA 95969 | 2013-05-23 |
| 1700121597 | Ann Mary Sullivan | Marriage & Family Therapist | 955 Elliott Road, Paradise, CA 95969 | 2012-12-05 |
| 1255631693 | Paola Maria Mccarthy | Pharmacist | 6020 Clark Rd, Paradise, CA 95969 | 2010-11-02 |
| 1871821678 | Lisa Alison Franco | Occupational Therapist | 1633 Cypress Ln., Lifehouse/cypress, Paradise, CA 95969 | 2009-12-07 |
| 1700017548 | Michael C Reilly | Occupational Therapy Assistant | 1633 Cypress Lane, Paradise, CA 95969 | 2009-07-28 |
| 1992985899 | James D Salomone | Counselor | 7690 East Rd, Redwood Valley, CA 95969 | 2007-11-07 |
| 1548461619 | Paradise Ultrasound | Radiologic Technologist | 5921 Clark Rd, Ste. C, Paradise, CA 95969 | 2007-05-29 |
| Find all providers in zip 95969 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| Find all providers with the same taxonomy | ||||
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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.