Healthcare Provider Details

I. General information

NPI: 1235162926
Provider Name (Legal Business Name): NORTH VALLEY PHYSICIANS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 RIO LINDO AVE SUITE 300
CHICO CA
95926-1827
US

IV. Provider business mailing address

670 RIO LINDO AVE SUITE 300
CHICO CA
95926-1827
US

V. Phone/Fax

Practice location:
  • Phone: 530-899-7120
  • Fax: 530-899-3647
Mailing address:
  • Phone: 530-899-7120
  • Fax: 530-899-3647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License NumberG35007
License Number StateCA

VIII. Authorized Official

Name: DR. JOHN PHILIP SMITH
Title or Position: OWNER
Credential: M.D.
Phone: 530-899-7120