WYATT PFORSICH (NPI# 1699298323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699298323 |
| Entity Type | Individual |
| Full Name | WYATT PFORSICH |
| Practice Address |
4038 Augusta Ln Chico CA 95973 |
| Mailing Address |
4038 Augusta Ln Chico CA 95973-8504 |
| Practice Telephone | (530) 345-3706 |
| Mailing Telephone | 5303453706 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4038 AUGUSTA LN |
| City | CHICO |
| State | CA |
| Zip Code | 95973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679066997 | Jennifer Ballintine | Dietitian, Registered | 2511 Navarro Drive, Chico, CA 95973 | 2018-06-11 |
| 1760900724 | Judith Mercedes Sneed | Counselor | 1360 E. Lassen Ave, Chico, CA 95973 | 2017-08-30 |
| 1134643497 | Stone Creek Counseling Center, Inc. | Counselor | 30 Landing Circle, Ste. 200, Chico, CA 95973 | 2017-07-28 |
| 1407386006 | Martha Martinez | Case Manager/Care Coordinator | 10 Indepence Circle, Chico, CA 95973 | 2017-06-15 |
| 1871045401 | Nupur Group, LLC | General Practice | 729 Windham Way, Chico, CA 95973 | 2016-10-31 |
| 1922550664 | Pablo Zubiate | Perfusionist | 13999 Limousin Drive, Chico, CA 95973 | 2016-10-28 |
| 1376090944 | Sarah Scharf | Behavioral Analyst | 15 Declaration Dr., Chico, CA 95973 | 2016-09-01 |
| 1336518323 | Karie Frances Kaufman | Marriage & Family Therapist | 60 Landing Cir, Ste 1, Chico, CA 95973 | 2015-09-19 |
| 1013251404 | Brigette Marie Brown | Speech-Language Pathologist | 2870 Cactus Ave, Chico, CA 95973 | 2012-11-26 |
| 1386992022 | Skyway House | Substance Abuse Rehabilitation Facility | 40 Landing Circle, Suite #1, Chico, CA 95973 | 2012-08-28 |
| Find all providers in zip 95973 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154599 | Kevan Cordell Murgia | Student in an Organized Health Care Education/Training Program | 2745 Ceanothus Ave, Chico, CA 95973-8279 | 2019-03-20 |
| 1043502677 | Melissa Leigh Dawson | Student in an Organized Health Care Education/Training Program | 1405 Magnolia Avenue, Suite A, Chico, CA 95926 | 2011-05-16 |
| 1801399241 | Fiona Mulvena | Student in an Organized Health Care Education/Training Program | 560 Cohasset Rd Ste 165, Chico, CA 95926 | 2018-03-12 |
| 1013253822 | Student Health Service, Ca State University Chico | Student in an Organized Health Care Education/Training Program | Warner Ave & College Dr, Chico, CA 95929-0777 | 2012-12-26 |
| 1750456125 | Nancy Benitez Mendieta | Student in an Organized Health Care Education/Training Program | 107 Parmac Road, Suite 1, Chico, CA 95926 | 2006-11-21 |
| 1912071366 | Matthew James Barron | Student in an Organized Health Care Education/Training Program | 1531 Esplanade, Chico, CA 95926-3310 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
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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.