REDDING PRIMARY CARE MEDICAL GROUP, INC. (NPI# 1376669481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376669481 |
| Entity Type | Organization |
| Organization Name | REDDING PRIMARY CARE MEDICAL GROUP, INC. |
| Other Organization Name | HILLTOP MEDICAL CLINIC WEST |
| Practice Address |
2123 Eureka Way Redding CA 96001-0428 |
| Practice Telephone | 5302464629 |
| Practice Fax Number | 5302464621 |
| Mailing Telephone | 5302466429 |
| Mailing Fax Number | 5302464921 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2009-10-14 |
| Authorized Official Name | SHELLY ELAINE WILHITE (ADMINISTRATOR) |
| Authorized Official Telephone | 5302464629 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | BUSS LIC# 23151 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ZZZ11432Z | 01 |
| CA | MEDICARE CLIA NUMBER | 05D1064577 | 01 |
| Other Name | Type Code |
|---|---|
| Hilltop Medical Clinic West | Doing Business As Name - Organization |
| Street Address |
2123 EUREKA WAY |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811906050 | Douglas J Moffatt | Physical Therapist | 2123 Eureka Way, Redding, CA 96001-0428 | 2006-08-05 |
| 1346447760 | Susan Lofsness Waits | Physician Assistant | 2123 Eureka Way, Redding, CA 96001-0428 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679067482 | Redding Alternatives, Inc. | Clinic/Center | 999 Mission De Oro Dr Ste 103, Redding, CA 96003-3861 | 2018-06-15 |
| 1992241707 | Jessica Denise Sutton | Clinic/Center | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2017-01-17 |
| 1649603713 | Redding Surgery Center LLC | Clinic/Center | 1238 West St, Redding, CA 96001-0415 | 2013-08-13 |
| 1689831935 | Kalmbach Chiropractic | Clinic/Center | 2779 Bechelli Ln, Redding, CA 96002-1924 | 2008-05-22 |
| 1336306695 | Lollar Chiropractic | Clinic/Center | 153 Hartnell Ave, Suite 100, Redding, CA 96002-1856 | 2008-05-22 |
| 1497783096 | Seely Medical Corporation | Clinic/Center | 2175 Rosaline Ave, Medical Staff Office, Redding, CA 96049-6009 | 2006-06-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.