Individual
GREG S CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
350 DEL NORTE AVENUE, YUBA CITY, CA 95991
(530) 671-4182
(530) 671-4835
Mailing address
1178 LIVE OAK BLVD, YUBA CITY, CA 95991-3407
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA16598
CA
363AS0400X
Surgical Physician Assistant
Primary
PA16598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PA165982
INDIVIDUAL PTAN NO. CA.
CA
01
—
CC9428
MEDICARE RAILROAD GROUP #
CA
01
—
P00243111
MEDICARE RAILROAD
CA
Enumeration date
05/25/2006
Last updated
03/19/2019
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