CHICO ORTHOPAEDIC SURGERY AND SPORTS MEDICAL ASSOCIATES (NPI# 1023325347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023325347 |
| Entity Type | Organization |
| Organization Name | CHICO ORTHOPAEDIC SURGERY AND SPORTS MEDICAL ASSOCIATES |
| Practice Address |
111 Raley Blvd Suite 160 Chico CA 95928-8351 |
| Practice Telephone | 5308916375 |
| Practice Fax Number | 5308916952 |
| Mailing Telephone | 5308916375 |
| Mailing Fax Number | 5308916952 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | MS. DYANNA R JOHNSON (PRACTICE MANAGER) |
| Authorized Official Telephone | 5308916375 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | G52675 | CA | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | G86463 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
111 RALEY BLVD SUITE 160 |
| City | CHICO |
| State | CA |
| Zip Code | 95928-8351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306839923 | Stephen F Pearce | Internal Medicine | 111 Raley Blvd, Suite 100, Chico, CA 95928-8351 | 2005-08-30 |
| 1811360571 | Krista Rivero | Registered Nurse | 111 Raley Blvd, Suite 220, Chico, CA 95928-8351 | 2015-11-03 |
| 1932583622 | Feather River Hospital | Durable Medical Equipment & Medical Supplies | 111 Raley Blvd, Suite 200, Chico, CA 95928-8351 | 2015-07-13 |
| 1518344175 | Suk Young Ahn Dds Inc | Dentist | 111 Raley Blvd, Suite 260, Chico, CA 95928-8351 | 2015-05-04 |
| 1710317912 | Tanya Nolan | Midwife | 111 Raley Blvd, Suite 220, Chico, CA 95928-8351 | 2013-11-25 |
| 1801226162 | Enloe Medical Center | Internal Medicine | 111 Raley Blvd, Suite 100, Chico, CA 95928-8351 | 2013-11-22 |
| 1629341060 | David J Gajda Md A Professional Corporation | Eyewear Supplier (Equipment, not the service) | 111 Raley Blvd, # 240, Chico, CA 95928-8351 | 2012-02-15 |
| 1033425889 | Bernadette Marie Connolly | Physician Assistant | 111 Raley Blvd, Suite 140, Chico, CA 95928-8351 | 2010-08-30 |
| 1982876785 | Hoan Van Tran | Internal Medicine | 111 Raley Blvd, Chico, CA 95928-8351 | 2008-04-01 |
| 1265637227 | Peter J. Bangsund | Internal Medicine | 111 Raley Blvd, Suite 100, Chico, CA 95928-8351 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232672 | Mary Ester Potts | Behavior Technician | 1611 Chico River Road, Chico, CA 95928 | 2020-07-09 |
| 1679105605 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1910 E. 20th Street, Chico, CA 95928 | 2020-02-07 |
| 1790250306 | Amy Groven | Counselor | 7 Williamsburg Lane, Chico, CA 95928 | 2018-10-10 |
| 1093217424 | Bonnie Jo Nelson | Registered Nurse | 91 Elderberry Court, Chico, CA 95928 | 2018-03-01 |
| 1174039036 | Deer Creek Surgery Center LLC | Clinic/Center | 127 Raley Blvd., Chico, CA 95928 | 2017-12-14 |
| 1174063606 | Erika Beteran | Counselor | 344 W 8th St, Chico, CA 95928 | 2017-03-02 |
| 1356723266 | Arjun S Sandhu | Podiatrist | 1806 Foundation Lane, Chico, CA 95928 | 2015-06-26 |
| 1912394735 | Kirk Bjella | Pediatrics | 1515 Springfield Dr, Children's Health Center, Chico, CA 95928 | 2015-04-20 |
| 1215346309 | Kathleen Renee Dahlstrom | Marriage & Family Therapist | 315 Wall St Ste 5, Chico, CA 95928 | 2014-08-04 |
| 1740696574 | Northern Valley Catholic Social Service, Inc. | Case Management | 1297 Park Avenue, Chico, CA 95928 | 2014-07-01 |
| Find all providers in zip 95928 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306001078 | Brock S Cummings Md Inc | Orthopaedic Surgery | 251 Cohasset Rd Ste 130, Chico, CA 95926-2235 | 2008-07-22 |
| 1114126158 | Ethan Lichtblau | Orthopaedic Surgery | 1531 The Esplanade, Chico, CA 95926-3310 | 2007-07-11 |
| 1922204494 | Phillip Jones | Orthopaedic Surgery | 131 Raley Blvd Ste 200, Chico, CA 95928-8347 | 2007-06-22 |
| 1063481893 | Kirk Fredrick Granlund | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2006-03-15 |
| 1982696571 | Edgar Otto Vyhmeister | Orthopaedic Surgery | 1531 Esplanade, Chico, CA 95926-3310 | 2005-08-19 |
| 1770905994 | Enloe Medical Center | Orthopaedic Surgery | 1600 Esplanade, Suite C, Chico, CA 95926-3369 | 2014-01-07 |
| 1336302991 | Douglas W Benson | Orthopaedic Surgery | 1531 Esplanade, Chico, CA 95926-3310 | 2008-07-03 |
| 1356519193 | Sidney Georg Jones | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2008-02-14 |
| 1235347873 | Bruce H Gallaway | Orthopaedic Surgery | 680 Cohasset Rd, Chico, CA 95926-2213 | 2007-05-18 |
| 1386783884 | Taylor A Konkin | Orthopaedic Surgery | 131 Raley Blvd, Chico, CA 95928-8347 | 2007-02-05 |
| Find all providers in CHICO | ||||
Please comment or provide details below to improve the information on CHICO ORTHOPAEDIC SURGERY AND SPORTS MEDICAL ASSOCIATES.
| 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.