Provider Demographics
NPI:1669582433
Name:CHATWIN, AMBER LEIGHAN (MD)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LEIGHAN
Last Name:CHATWIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:530-749-3340
Mailing Address - Fax:530-749-3479
Practice Address - Street 1:470 PLUMAS BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5077
Practice Address - Country:US
Practice Address - Phone:530-749-3340
Practice Address - Fax:530-749-3479
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72130207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00779823OtherRAILROAD MEDICARE
CA1669582433Medicaid
CABC6520767OtherDEA
CABW143YMedicare PIN
CABC6520767OtherDEA