Healthcare Provider Details

I. General information

NPI: 1083524102
Provider Name (Legal Business Name): ENLOE HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 ESPLANADE STE 10
CHICO CA
95926-3366
US

IV. Provider business mailing address

2080 E 20TH ST STE 100
CHICO CA
95928-7704
US

V. Phone/Fax

Practice location:
  • Phone: 530-332-4600
  • Fax: 530-893-6957
Mailing address:
  • Phone: 530-332-6331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE VENARD
Title or Position: DIRECTOR, PFS/HIM
Credential:
Phone: 530-332-6331