| Mission Ranch Primary Care Inc | |
|
114 Mission Ranch Blvd Suite 10 Chico CA 95926-5137 | |
| (530) 894-0500 | |
| (530) 345-2532 |
| Full Name | Mission Ranch Primary Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 114 Mission Ranch Blvd, Chico, California |
| Authorized Official Name and Position | James Westcott (PRESIDENT) |
| Authorized Official Contact | 5308940500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Ranch Primary Care Inc 114 Mission Ranch Blvd Suite 10 Chico CA 95926-5137 Ph: (530) 894-0500 | Mission Ranch Primary Care Inc 114 Mission Ranch Blvd Suite 10 Chico CA 95926-5137 Ph: (530) 894-0500 |
| NPI Number | 1316497910 |
|---|---|
| Provider Enumeration Date | 10/06/2016 |
| Last Update Date | 10/06/2016 |
| Medicare PECOS PAC ID | 4688956634 |
|---|---|
| Medicare Enrollment ID | O20170126002046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316497910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Mark K Weeber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144324492 PECOS PAC ID: 8123208352 Enrollment ID: I20110204000868 |
| Provider Name | Bryan G Furst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992960405 PECOS PAC ID: 1254500671 Enrollment ID: I20110801000673 |
| Provider Name | Jeffrey Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750642849 PECOS PAC ID: 7618233933 Enrollment ID: I20200721002252 |
| Provider Name | Tiffany Diane Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144581554 PECOS PAC ID: 6507280609 Enrollment ID: I20200722002265 |
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