Healthcare Provider Details

I. General information

NPI: 1205651577
Provider Name (Legal Business Name): CHICO MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 VALLOMBROSA AVE
CHICO CA
95926-3900
US

IV. Provider business mailing address

901 COIT TOWER WAY
CHICO CA
95928-9440
US

V. Phone/Fax

Practice location:
  • Phone: 818-238-7828
  • Fax:
Mailing address:
  • Phone: 818-238-7828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MUSTAFA ALLAMI
Title or Position: CEO
Credential: MD
Phone: 818-238-7828