DR. WALTER SAM MAZEN JR. (NPI# 1649292624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649292624 |
| Entity Type | Individual |
| Full Name | DR. WALTER SAM MAZEN JR. |
| Credential | M.D. |
| Practice Address |
1665 Esplanade Chico CA 95926-3312 |
| Practice Telephone | 5308950423 |
| Practice Fax Number | 5308951872 |
| Mailing Telephone | 5308950423 |
| Mailing Fax Number | 5308951872 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G45960 | CA | Allopathic & Osteopathic Physicians |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
G45960 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROO43570 | 05 | |
| CA | DEA LICENSE | AM1382934 | 01 |
| CA | CALIFORNIA STATE LICENSE | G45960 | 01 |
| 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 |
| 1023420726 | Enloe Medical Center | Obstetrics & Gynecology | 1665 Esplanade, Chico, CA 95926-3312 | 2014-05-29 |
| 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 |
| 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 | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757705 | Michelle Uaje, Md PC | Obstetrics & Gynecology | 21810 Heatheridge Dr, Yorba Linda, CA 92887-2612 | 2020-10-09 |
| 1811559560 | Ob Hospitalists of Orange County Inc | Obstetrics & Gynecology | 1310 W Stewart Dr Ste 307, Orange, CA 92868-3838 | 2019-07-02 |
| 1912563735 | Sarah Lavonne Miller | Obstetrics & Gynecology | 144 N Kenmore Ave Apt 1, Los Angeles, CA 90004-6274 | 2019-05-16 |
| 1174007421 | Amal A Malek | Obstetrics & Gynecology | 47 Seabrook Cv, Newport Beach, CA 92660-6232 | 2018-09-22 |
| 1093223901 | Daniel M. Villarosa, M.d., A Professional Corporation | Obstetrics & Gynecology | 18064 Wika Rd Ste 102, Apple Valley, CA 92307-2182 | 2018-01-12 |
| 1316455363 | Yasharpour Medical Doctor, Inc., A Professional Medical Corporation | Obstetrics & Gynecology | 7400 Van Nuys Blvd Ste 120, Van Nuys, CA 91405-1972 | 2018-01-11 |
| 1821503863 | Healthcare Solutions Usa, Inc. | Obstetrics & Gynecology | 16253 Laguna Canyon Rd Ste 100, Irvine, CA 92618-3610 | 2017-12-13 |
| 1588176572 | Haiping Wang, M.d. | Obstetrics & Gynecology | 123 N Garfield Ave Ste D, Alhambra, CA 91801-3564 | 2017-10-30 |
| 1467977637 | Richard Norman Christie | Obstetrics & Gynecology | 501 Washington St Ste 725, San Diego, CA 92103-2241 | 2017-08-09 |
| 1386170355 | Andrew Peter Lin Md A Professional Medical Corporation | Obstetrics & Gynecology | 30 Via Milpitas, Carmel Valley, CA 93924-9630 | 2017-05-11 |
| 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.