ENLOE MEDICAL CENTER (NPI# 1366830507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366830507 |
| Entity Type | Organization |
| Organization Name | ENLOE MEDICAL CENTER |
| Other Organization Name | ENLOE NEUROLOGY CLINIC |
| Practice Address |
1421 Magnolia Ave Chico CA 95926-3226 |
| Mailing Address |
1531 Esplanade Attn: Finance Chico CA 95926-3310 |
| Practice Telephone | 5303327300 |
| Mailing Telephone | 5303327300 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |
| Authorized Official Name | MR. MYRON 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 | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
230000027 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Enloe Neurology Clinic | Doing Business As Name - Organization |
| 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 |
| 1972905503 | Enloe Medical Center | Physical Medicine & Rehabilitation | 340 W East Ave, Chico, CA 95926-7238 | 2014-09-26 |
| 1992117592 | Enloe Medical Center | Colon & Rectal Surgery | 2 Governors Ln, Chico, CA 95926-6300 | 2014-05-30 |
| Street Address |
1421 MAGNOLIA AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679629653 | Ravdeep Kaur Sandhu | Nurse Practitioner | 1421 Magnolia Ave, Chico, CA 95926-3226 | 2007-01-25 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780777284 | Taiji Kawazu, M.d. | Psychiatry & Neurology | 130 Independence Cir Ste 5, Chico, CA 95973-4918 | 2006-10-02 |
| 1336141159 | Stephen David Forner | Psychiatry & Neurology | 1405 Magnolia Ave, Suite B, Chico, CA 95926-3226 | 2005-08-11 |
| 1750387692 | Joel M Rothfeld | Psychiatry & Neurology | 120 Independence Cir, Ste G, Chico, CA 95973-4925 | 2005-06-24 |
| 1578840815 | Paramjit Singh, Md | Psychiatry & Neurology | 1645 Esplanade, Suite 2, Chico, CA 95926-3367 | 2011-11-15 |
| 1316145774 | Stephen D. Forner, M.d. Medical Corporation | Psychiatry & Neurology | 1405 Magnolia Ave, Suite B, Chico, CA 95926-3226 | 2007-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352876 | Riverside Optimal Healthcare, Inc | Psychiatry & Neurology | 13320 Riverside Dr Ste 204, Sherman Oaks, CA 91423-2512 | 2020-10-08 |
| 1710592431 | Muhammad Amin | Psychiatry & Neurology | 33433 Pony Loop, Fremont, CA 94555-3511 | 2020-09-10 |
| 1558973792 | Catalyst Neuromedical Center PC | Psychiatry & Neurology | 3305 Placer St Ste B, Redding, CA 96001-2378 | 2020-08-19 |
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1427689256 | Alejandro F Centurion Md Inc | Psychiatry & Neurology | 100 Clock Tower Pl Ste 225, Carmel, CA 93923-8778 | 2020-01-30 |
| 1659901254 | Kern County Neurological Medical Group, Inc | Psychiatry & Neurology | 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 | 2020-01-22 |
| 1609415314 | Aspire Holdings, Inc | Psychiatry & Neurology | 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 | 2019-12-27 |
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
| 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.