ENLOE MEDICAL CENTER (NPI# 1982787016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982787016 |
| Entity Type | Organization |
| Organization Name | ENLOE MEDICAL CENTER |
| Practice Address |
340 W East Ave Chico CA 95926-7238 |
| Mailing Address |
1531 Esplanade Attn: Finance Chico CA 95926-3310 |
| Practice Telephone | 5308937300 |
| Practice Fax Number | 5308936853 |
| Mailing Telephone | 5303327479 |
| Mailing Fax Number | 5308936853 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-05-28 |
| Authorized Official Name | MR. MYRON EUGENE MACHULA (VP/CFO) |
| Authorized Official Telephone | 5303327357 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENLOE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 230000027 | CA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR00039F | 05 | |
| CA | MEDICARE ID TYPE UNSPECIFIED | 05T039 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1255812780 | Enloe Medical Center | Obstetrics & Gynecology | 1425 Magnolia Ave, Chico, CA 95926-3226 | 2018-08-23 |
| 1073696100 | Enloe Medical Center | Psychiatric Unit | 560 Cohasset Rd, Chico, CA 95926-2212 | 2006-10-23 |
| 1225125602 | Enloe Medical Center | General Acute Care Hospital | 1390 E Lassen Ave, Chico, CA 95973-7823 | 2006-10-06 |
| 1720099328 | Enloe Medical Center | Internal Medicine | 185 E 7th Ave Ste A, Chico, CA 95926-3356 | 2006-08-10 |
| 1245240654 | Enloe Medical Center | General Acute Care Hospital | 7883 State Highway 99e, Los Molinos, CA 96055-9782 | 2006-08-08 |
| 1902459829 | Enloe Medical Center | Skilled Nursing Facility | 340 W East Ave, Chico, CA 95926-7238 | 2019-07-19 |
| 1164885604 | Enloe Medical Center | Surgery | 1026 Mangrove Ave Ste 10, Chico, CA 95926-3556 | 2016-04-01 |
| 1366830507 | Enloe Medical Center | Psychiatry & Neurology | 1421 Magnolia Ave, Chico, CA 95926-3226 | 2014-12-22 |
| 1972905503 | Enloe Medical Center | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2014-09-26 |
| Street Address |
340 W EAST AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-7238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285907 | Samuel Mo Park | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2005-06-15 |
| 1790312353 | Ramey Volk | Physical Therapist | 340 W East Ave, Chico, CA 95926-7238 | 2020-03-24 |
| 1902459829 | Enloe Medical Center | Skilled Nursing Facility | 340 W East Ave, Chico, CA 95926-7238 | 2019-07-19 |
| 1477079770 | Hailey Mcgregor | Nurse Practitioner | 340 W East Ave, Chico, CA 95926-7238 | 2017-08-17 |
| 1447654702 | Jeannie Chen | Nurse Practitioner | 340 W East Ave, Chico, CA 95926-7238 | 2014-10-15 |
| 1972905503 | Enloe Medical Center | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2014-09-26 |
| 1154578565 | Shawn Robert Furst | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2008-08-27 |
| 1245433010 | Tobey M. Leung, A.p.m.c. | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2007-06-07 |
| 1861584294 | Vikram Podduturu | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2006-09-30 |
| 1013955657 | Phillip R Filbrandt | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2006-06-04 |
| Find all providers in the same location | ||||
| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909543 | Harmony Rehab PC | Rehabilitation Unit | 530 Showers Dr Ste 7-212, Mountain View, CA 94040-4740 | 2020-07-17 |
| 1659813012 | Jordan Leeann Isom | Rehabilitation Unit | 3322 Saint Omer St Apt 33, Cottonwood, CA 96022-9414 | 2016-11-15 |
| 1568911972 | Van Ngo | Rehabilitation Unit | 3939 Monroe Ave Apt 124, Fremont, CA 94536-6903 | 2016-09-26 |
| 1659756450 | Rehab Alliance | Rehabilitation Unit | 1720 Mt View Ave, Loma Linda, CA 92354-1727 | 2015-07-22 |
| 1265828966 | Therasens Occupational Therapy | Rehabilitation Unit | 1900 Garden Rd Ste 200c, Monterey, CA 93940-5373 | 2015-04-09 |
| 1396081394 | Quest Psychological Consulting, Inc. | Rehabilitation Unit | 18411 Gothard St Unit I, Huntington Beach, CA 92648-1208 | 2012-12-19 |
| 1477805877 | First Rehabilitation Specialists, Inc. | Rehabilitation Unit | 475 Hamilton St, San Francisco, CA 94134-1731 | 2012-10-09 |
| 1316298607 | Dynamic Therapy Group, Inc. | Rehabilitation Unit | 8100 Hansom Dr, Oakland, CA 94605-4211 | 2012-09-26 |
| 1184973752 | Providence Speech and Hearing Center | Rehabilitation Unit | 1301 Providence Ave., Orange, CA 92868 | 2012-08-29 |
| 1396003034 | Armour X Sports In Orthopedic Medicine | Rehabilitation Unit | 22482 Lake Forest Ln, Lake Forest, CA 92630-3024 | 2012-05-01 |
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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.