SHASTA REGIONAL EMERGENCY MEDICAL ASSOCIATES, INC


Address: 1100 Butte St, Redding, CA 96001-0852
Phone: 5302445400

SHASTA REGIONAL EMERGENCY MEDICAL ASSOCIATES, INC (NPI# 1679007140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679007140
Entity Type Organization
Organization Name SHASTA REGIONAL EMERGENCY MEDICAL ASSOCIATES, INC
Practice Address 1100 Butte St
Redding
CA 96001-0852
Mailing Address 111 N Sepulveda Blvd
Ste 210
Manhattan Beach
CA 90266-6861
Practice Telephone 5302445400
Mailing Telephone 3106985474
Mailing Fax Number 3103794856
Enumeration Date 2017-04-12
Last Update Date 2017-04-12
Authorized Official Name IRV E EDWARDS (CEO)
Authorized Official Telephone 3106985474
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 1100 BUTTE ST
City REDDING
State CA
Zip Code 96001-0852

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073580577 Pavan K Davuluri Anesthesiology 1100 Butte St, Redding, CA 96001 2006-03-02
1487255816 Jessica Ann Kandybe Registered Nurse 1100 Butte St, Redding, CA 96001-0852 2020-11-03
1306474135 Tai Chinnock Moses Physician Assistant 1100 Butte St, Redding, CA 96001-0852 2020-03-28
1073150025 Carl Evan Bennett Nurse Practitioner 1100 Butte St, Redding, CA 96001-0852 2019-12-09
1427604636 Maria C Morales Nurse Practitioner 1100 Butte St, Redding, CA 96001-0852 2019-08-13
1962982165 Eric Lee Svendsen Physician Assistant 1100 Butte St, Redding, CA 96001 2018-08-16
1174017214 Far Northern Anesthesia Consultants Anesthesiology 1100 Butte St, Redding, CA 96001 2018-06-21
1629583018 Clear Creek Medical Corp Family Medicine 1100 Butte St, Redding, CA 96001-0852 2017-12-06
1457879009 Noah Chutz Physician Assistant 1100 Butte St, Redding, CA 96001 2017-09-05
1285185397 Zachary Periharos Physician Assistant 1100 Butte St, Redding, CA 96001-0852 2016-10-24
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649554155 Barry Roy Klein Emergency Medicine 16325 Canto De Las Lupine Dr, Redding, CA 96001-4399 2011-10-03
1720143530 Teri Ann Boster Emergency Medicine 2175 Rosaline Ave., Medical Staff Office, Redding, CA 96049-6009 2006-12-22
1588778815 Joanna Krystyna Ramseyer Emergency Medicine 8058 Placer View Ct, Redding, CA 96001-9577 2006-08-17
1497869648 Andrew L. Knapp Emergency Medicine 2770 Eureka Way, Suite 100, Physicians Wound Center, Redding, CA 96001 2006-08-17
1295760056 William Dykes Emergency Medicine 12450 Maria Drive, Redding, CA 96003 2006-07-11
1285096594 Avigile Baehr Emergency Medicine 1100 Butte St, Redding, CA 96001-0852 2016-03-25
1811308190 Charles Everett Mansell Emergency Medicine 2175 Rosaline Ave, Redding, CA 96001-2549 2014-05-08
1215357264 Ryan Meller Emergency Medicine 2175 Rosaline Ave, Redding, CA 96001-2549 2014-04-17
1033464656 Paul Matthew Johnson Emergency Medicine 2175 Rosaline Ave, Redding, CA 96001-2509 2012-07-19
1700161064 Travis Frederick Mackenzie Emergency Medicine 3335 Placer St, Pmb #212, Redding, CA 96001-2364 2011-10-19
Find all providers in REDDING

Competitor

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City REDDING
Zip Code 96001

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Dataset Information

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.

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