ENLOE MEDICAL CENTER (NPI# 1023420726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023420726 |
| Entity Type | Organization |
| Organization Name | ENLOE MEDICAL CENTER |
| Other Organization Name | ENLOE WOMEN'S SERVICES |
| Practice Address |
1665 Esplanade Chico CA 95926-3312 |
| Mailing Address |
1531 Esplanade Attn: Finance Chico CA 95926-3310 |
| Practice Telephone | 5308950423 |
| Practice Fax Number | 5308951872 |
| Mailing Telephone | (530) 332-7479 |
| Mailing Fax Number | 5308936853 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | 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 | 207V00000X | Obstetrics & Gynecology | 230000027 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Enloe Women's Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1405 Magnolia Avenue, Suite A, Chico, CA 95926 | 5303325089 | |
| 1423 Magnolia Ave, Chico, CA 959263226 | 5303325010 |
| 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 |
1665 ESPLANADE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083659833 | Holly Tanya Kralj | Nurse Practitioner | 1665 Esplanade, Chico, CA 95926-3312 | 2006-06-17 |
| 1417458522 | Julia Ann Cruse | Physician Assistant | 1665 Esplanade, Chico, CA 95926-3312 | 2018-02-23 |
| 1578820080 | Alicia Suzanne Wenberg | Obstetrics & Gynecology | 1665 Esplanade, Chico, CA 95926-3312 | 2012-04-20 |
| 1316050537 | Obgyn Associates of Chico | Specialist | 1665 Esplanade, Chico, CA 95926-3312 | 2006-08-15 |
| 1306860861 | Steven Craig Lazaro | Obstetrics & Gynecology | 1665 Esplanade, Chico, CA 95926-3312 | 2006-07-27 |
| 1952325276 | Camille Ann Panighetti | Registered Nurse | 1665 Esplanade, Chico, CA 95926-3312 | 2006-07-27 |
| 1518980903 | Karen Edna Aronson | Registered Nurse | 1665 Esplanade, Chico, CA 95926-3312 | 2006-07-26 |
| 1578586509 | Susan Lee Kehm | Specialist | 1665 Esplanade, Chico, CA 95926-3312 | 2006-07-25 |
| 1649292624 | Walter Sam Mazen Jr. | Obstetrics & Gynecology | 1665 Esplanade, Chico, CA 95926-3312 | 2006-07-25 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812780 | Enloe Medical Center | Obstetrics & Gynecology | 1425 Magnolia Ave, Chico, CA 95926-3226 | 2018-08-23 |
| 1770842056 | Sarah M Burke | Obstetrics & Gynecology | 1423 Magnolia Ave Ste B, Chico, CA 95926-3226 | 2012-05-08 |
| 1992993463 | Joseph T. Brooks, M.d. A Professional Corporation | Obstetrics & Gynecology | 1430 Esplanade Ste 3, Chico, CA 95926-3366 | 2007-10-10 |
| 1043395478 | Christine Huse Sloop | Obstetrics & Gynecology | 111 Raley Blvd Ste 140, Chico, CA 95928-8351 | 2006-10-26 |
| 1083700264 | Maurice Valcarenghi | Obstetrics & Gynecology | 635 W East Ave, Chico, CA 95926 | 2006-10-05 |
| 1982641387 | Raleigh J Unterseher | Obstetrics & Gynecology | 1315 Esplanade, Chico, CA 95926-3330 | 2006-06-02 |
| 1598751786 | Scott Duane Mellum | Obstetrics & Gynecology | 101 W 2nd Ave, Chico, CA 95926-3810 | 2005-09-22 |
| 1477557908 | Lois A Jensen | Obstetrics & Gynecology | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2005-06-13 |
| 1902293277 | Rachel Chamberlain | Obstetrics & Gynecology | 1423 Magnolia Ave, Chico, CA 95926-3226 | 2015-04-23 |
| 1578820080 | Alicia Suzanne Wenberg | Obstetrics & Gynecology | 1665 Esplanade, Chico, CA 95926-3312 | 2012-04-20 |
| 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.