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CH SPECIALTY SERVICES CA PC
NPI 1730888041
Internal Medicine in Roseville, CA

Active since February 24, 2023
1031 ROSEVILLE PKWY, ROSEVILLE, CA 95678(337) 408-0797 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 18, 2025, Feb 24, 2023 (2 updates tracked since 2023).

About Ch Specialty Services Ca Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CH SPECIALTY SERVICES CA PC (NPI 1730888041) is a healthcare organization registered as an internal medicine in Roseville, California and active in the NPI registry since February 2023. The organization maintains a secondary practice location in Los Angeles and lists Nicole Howard, Sr Vp Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1730888041
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCH SPECIALTY SERVICES CA PC
Location Address1031 ROSEVILLE PKWYRoseville, CA 95678-6279
Mailing Address5750 Johnston St Ste 205Lafayette, LA 70503-5345 · (337) 408-0797
Phone(337) 408-0797
Organization SubpartNo
Authorized OfficialNicole HowardSr Vp Of Administrative Services · (337) 408-0797
Enumeration DateFebruary 24, 2023
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1730888041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1031 ROSEVILLE PKWY, Roseville, CA 95678
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Secondary Practice Location 1

Location 13415 S Sepulveda Blvd Ste 1100Los Angeles, CA 90034-7090 · Phone (337) 408-0797

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ch Specialty Services Ca Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Ch Specialty Services Ca PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Jayson Weir, M.D.
Hospitalist
NPI 1518257138
917 MOUNTAIN ST
Carson City, NV 89703
(775) 515-0100
✔ PECOS86 mi
Mark Canty, MD
Family Practice
NPI 1962573626
1835 ODDIE BLVD
Sparks, NV 89431
(775) 982-5140
✔ PECOS✔ Accepts Medicare97 mi
Timothy Puri, M.D.
Internal Medicine
NPI 1235458092
395 OYSTER POINT BLVD STE 512
South San Francisco, CA 94080
(650) 826-2945
✔ PECOS✔ Accepts Medicare97 mi
Misty Pagan, DNP, AGNP-C
Nurse Practitioner
NPI 1184119844
13471 W CORNERSTONE BLVD
Goodyear, AZ 85395
(480) 964-2273
✔ PECOS✔ Accepts Medicare619 mi
Hilda Defoe, FNP-C
Nurse Practitioner
NPI 1235470402
3202 E GREENWAY RD
Phoenix, AZ 85032
(602) 325-5577
✔ PECOS628 mi
Brian Cooper, D.O.
Internal Medicine
NPI 1366678963
3901A SPICEWOOD SPRINGS RD STE 201
Austin, TX 78759
(737) 226-6700
✔ PECOS✔ Accepts Medicare1,456 mi
Tina Shenouda, MD
Family Practice
NPI 1326386996
545 GULFGATE CENTER MALL
Houston, TX 77087
(281) 846-7209
✔ PECOS✔ Accepts Medicare1,607 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ch Specialty Services Ca PC's NPI number?

The NPI number for Ch Specialty Services Ca PC is 1730888041. It was assigned to this organization in the NPPES registry on February 24, 2023.

Where is Ch Specialty Services Ca PC located?

Ch Specialty Services Ca PC is located at 1031 Roseville Pkwy, Roseville, CA 95678. The listed phone number is (337) 408-0797.

What is Ch Specialty Services Ca PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ch Specialty Services Ca PC enrolled in Medicare?

Yes. Ch Specialty Services Ca PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ch Specialty Services Ca PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Ch Specialty Services Ca PC, in Family Practice, Hospitalist, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ch Specialty Services Ca PC was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.