Provider Demographics
NPI:1235162926
Name:NORTH VALLEY PHYSICIANS INC.
Entity Type:Organization
Organization Name:NORTH VALLEY PHYSICIANS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-899-7120
Mailing Address - Street 1:670 RIO LINDO AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1827
Mailing Address - Country:US
Mailing Address - Phone:530-899-7120
Mailing Address - Fax:530-899-3647
Practice Address - Street 1:670 RIO LINDO AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1827
Practice Address - Country:US
Practice Address - Phone:530-899-7120
Practice Address - Fax:530-899-3647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG35007305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ22980ZMedicare ID - Type UnspecifiedGROUP BILL ID