Healthcare Provider Details

I. General information

NPI: 1780426601
Provider Name (Legal Business Name): MICHAEL JAMES ESLICK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2024
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

448 GARDEN HWY
YUBA CITY CA
95991-6348
US

IV. Provider business mailing address

201 D ST STE R
MARYSVILLE CA
95901-5952
US

V. Phone/Fax

Practice location:
  • Phone: 530-441-2400
  • Fax:
Mailing address:
  • Phone: 530-441-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: