| Enloe Digestive Diseases Clinic | |
|
111 Raley Blvd Suite 100 Chico CA 95928-8351 | |
| (530) 894-8800 | |
| (530) 894-8929 |
| Full Name | Enloe Digestive Diseases Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 Raley Blvd, Chico, California |
| Authorized Official Name and Position | Myron E. Machula (VP/CFO) |
| Authorized Official Contact | 5303327357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enloe Digestive Diseases Clinic 1531 Esplanade Attn: Finance Chico CA 95926-3310 Ph: (530) 332-7300 | Enloe Digestive Diseases Clinic 111 Raley Blvd Suite 100 Chico CA 95928-8351 Ph: (530) 894-8800 |
| NPI Number | 1801226162 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 05/28/2014 |
| Medicare PECOS PAC ID | 9739092388 |
|---|---|
| Medicare Enrollment ID | O20140918000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801226162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 230000027 (California) | Primary |
| Provider Name | Daniel Zovich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538140017 PECOS PAC ID: 3072592369 Enrollment ID: I20040720000350 |
| Provider Name | Yuming Yin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972586543 PECOS PAC ID: 6507820107 Enrollment ID: I20051122000883 |
| Provider Name | Laurie B Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518069343 PECOS PAC ID: 7012065113 Enrollment ID: I20090429000362 |
| Provider Name | Stephen F Pearce |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306839923 PECOS PAC ID: 2860469210 Enrollment ID: I20100810000869 |
| Provider Name | Uzma Abbasi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275856106 PECOS PAC ID: 3779607338 Enrollment ID: I20100902001083 |
| Provider Name | Nathan Tp Kam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598843351 PECOS PAC ID: 7911186713 Enrollment ID: I20110126000320 |
| Provider Name | Shaheen Rasheed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154421576 PECOS PAC ID: 3779580394 Enrollment ID: I20110228000047 |
| Provider Name | Donald E Mansell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730117862 PECOS PAC ID: 9234315243 Enrollment ID: I20110509000449 |
| Provider Name | Peter J Bangsund |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265637227 PECOS PAC ID: 7719126705 Enrollment ID: I20130624000628 |
| Provider Name | Michelle L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114060258 PECOS PAC ID: 6901046572 Enrollment ID: I20130702000172 |
| Provider Name | Preet Bagi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245432145 PECOS PAC ID: 1254584006 Enrollment ID: I20140113000593 |
| Provider Name | Angizeh Sadeghi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538211917 PECOS PAC ID: 3870782584 Enrollment ID: I20140611000510 |
| Provider Name | Aimee N Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295996387 PECOS PAC ID: 4688899685 Enrollment ID: I20140708000532 |
| Provider Name | Alex G Shindel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497013759 PECOS PAC ID: 8224356472 Enrollment ID: I20150420000360 |
| Provider Name | Hoan Van Tran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982876785 PECOS PAC ID: 3173748084 Enrollment ID: I20150917001625 |
| Provider Name | Amir Prushani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275762858 PECOS PAC ID: 4981837473 Enrollment ID: I20151204002241 |
| Provider Name | Rawel S Randhawa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689781361 PECOS PAC ID: 4789602715 Enrollment ID: I20160209002667 |
| Provider Name | Stephanie L Pilkington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376795914 PECOS PAC ID: 9931326782 Enrollment ID: I20160727000094 |
| Provider Name | Elliott A Birnstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265703300 PECOS PAC ID: 9335494681 Enrollment ID: I20180611000823 |
| Provider Name | Craig A Aronchick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710071774 PECOS PAC ID: 2567454077 Enrollment ID: I20190325001518 |
| Provider Name | Maher Tama |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326393737 PECOS PAC ID: 4486965654 Enrollment ID: I20190731001397 |
| Provider Name | Vijay P Agarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609964154 PECOS PAC ID: 9638328974 Enrollment ID: I20190903001672 |
| Provider Name | Mathew K Kandathil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346232097 PECOS PAC ID: 1658394838 Enrollment ID: I20191028000016 |
| Provider Name | Patricia C Paddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265094684 PECOS PAC ID: 2365875036 Enrollment ID: I20191211000296 |
| Provider Name | Stephen D Coleman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952368987 PECOS PAC ID: 4789611823 Enrollment ID: I20200217000392 |
| Provider Name | Dana C Wunderlich |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194363184 PECOS PAC ID: 0446688394 Enrollment ID: I20200309000356 |
| Provider Name | Fong-kuei Frank Cheng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922275874 PECOS PAC ID: 0345488409 Enrollment ID: I20200826003128 |
| Provider Name | David M Bechtold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952503112 PECOS PAC ID: 0648683045 Enrollment ID: I20210104000202 |
| Provider Name | Navjot Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952324170 PECOS PAC ID: 9436138567 Enrollment ID: I20210602002564 |
| Provider Name | Branden D Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346998820 PECOS PAC ID: 2264829605 Enrollment ID: I20220503001982 |
| Provider Name | Lindsay Farmer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801518402 PECOS PAC ID: 2264809367 Enrollment ID: I20221102001813 |
| Provider Name | Mohd Amer Alsamman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558701540 PECOS PAC ID: 6305158304 Enrollment ID: I20230621002243 |
| Provider Name | James J Hwang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659803146 PECOS PAC ID: 1951672872 Enrollment ID: I20231010004272 |
Sh Medical Services P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3222 Gibson Ldg, Chico, CA 95973 Phone: 949-463-0650 | |
Michael J Ricci Md A Prof Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 774 East Ave, Chico, CA 95926 Phone: 530-894-0311 Fax: 530-894-5525 | |
Wellcat Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Warner Street, Csu Chico Studen Health Service, Chico, CA 95929 Phone: 530-898-5241 Fax: 530-898-4057 | |
Northern Valley Indian Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 845 W East Ave, Chico, CA 95926 Phone: 530-896-9400 Fax: 530-896-9407 | |
Chico Immediate Care Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 376 Vallombrosa Ave, Chico, CA 95926 Phone: 530-891-1676 Fax: 530-891-1833 | |
Chico State University, Student Health Service Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Warner Ave & College Dr, Chico, CA 95929 Phone: 530-898-5241 Fax: 530-898-4057 | |
Bookadoc2u Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1560 Humboldt Rd Ste 2, Chico, CA 95928 Phone: 530-809-1455 Fax: 530-965-5312 |