Provider Demographics
NPI:1952629073
Name:STEPHEN F. PEARCE, M.D., INC.
Entity Type:Organization
Organization Name:STEPHEN F. PEARCE, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:PEARCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-894-8800
Mailing Address - Street 1:251 COHASSET RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2241
Mailing Address - Country:US
Mailing Address - Phone:530-894-8800
Mailing Address - Fax:530-894-8929
Practice Address - Street 1:251 COHASSET RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2241
Practice Address - Country:US
Practice Address - Phone:530-894-8800
Practice Address - Fax:530-894-8929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-13
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG45135207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1952629073Medicaid
CA1952629073Medicaid
CADF720ZMedicare PIN