Provider Demographics
NPI:1447207394
Name:PASAMONTE, CHANDRA M (DPM)
Entity type:Individual
Prefix:DR
First Name:CHANDRA
Middle Name:M
Last Name:PASAMONTE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 FOUNDATION LN
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-9206
Mailing Address - Country:US
Mailing Address - Phone:530-891-3338
Mailing Address - Fax:530-894-5771
Practice Address - Street 1:1806 FOUNDATION LN
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-9206
Practice Address - Country:US
Practice Address - Phone:530-891-3338
Practice Address - Fax:530-894-5771
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4327213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU85513Medicare UPIN
CA5875170001Medicare NSC
CA000E43271Medicare PIN