SHASTA COMMUNITY HEALTH CENTER (NPI# 1710450929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710450929 |
| Entity Type | Organization |
| Organization Name | SHASTA COMMUNITY HEALTH CENTER |
| Practice Address |
1900 Railroad Ave Redding CA 96001-1802 |
| Mailing Address |
Po Box 992790 Redding CA 96099-2790 |
| Practice Telephone | 5302465710 |
| Mailing Telephone | 5302465710 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | MR. CONSTANTINE DEAN GERMANO (CEO) |
| Authorized Official Telephone | 5302465710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shasta Community Maternity Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013931476 | Shasta Community Health Center | Physician Assistant | 16300 Cloverdale Rd, Anderson, CA 96007-8209 | 2006-07-27 |
| 1538181557 | Shasta Community Health Center | Dentist | 1400 Market Street, Redding, CA 96001 | 2006-07-25 |
| 1013932797 | Shasta Community Health Center | Dentist | 4215 Front St, Shasta Lake, CA 96019-9430 | 2006-07-13 |
| 1942225719 | Shasta Community Health Center | Dentist | 2801 Silver St, Anderson, CA 96007-4239 | 2006-07-13 |
| 1114533171 | Shasta Community Health Center | Internal Medicine | 1756 Continental St, Redding, CA 96001-1240 | 2020-09-16 |
| 1669004123 | Shasta Community Health Center | Social Worker | 3270 Churn Creek Rd, Redding, CA 96002-2504 | 2020-02-12 |
| 1356815542 | Shasta Community Health Center | Social Worker | 980 Placer St, Redding, CA 96001-1126 | 2019-01-22 |
| 1699171660 | Shasta Community Health Center | Social Worker | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2014-11-18 |
| 1164848487 | Shasta Community Health Center | Social Worker | 1035 Placer St, Redding, CA 96001-1125 | 2014-03-11 |
| 1417033614 | Shasta Community Health Center | Health Maintenance Organization | 1035 Placer St, Redding, CA 96001-1125 | 2006-10-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHASTA COMMUNITY HEALTH CENTER | 1035 Placer St, Redding, CA 96001-1125 |
| Street Address |
1900 RAILROAD AVE |
| City | REDDING |
| State | CA |
| Zip Code | 96001-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073942009 | Dignity Health | Clinic/Center | 1900 Railroad Ave, Redding, CA 96001-1802 | 2013-11-12 |
| 1679092639 | Barbara Bergstrom | Registered Nurse | 1900 Railroad Ave, Redding, CA 96001-1802 | 2017-09-11 |
| 1659899862 | Joyce Heldreth | Registered Nurse | 1900 Railroad Ave, Redding, CA 96001 | 2017-09-07 |
| 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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750874 | Dominika Dymarczyk | Obstetrics & Gynecology | 447 Hillcrest Dr, Redwood City, CA 94062-2949 | 2020-11-03 |
| 1710506340 | Delete | Obstetrics & Gynecology | 27008 Pierpont Ct, Santa Clarita, CA 91355-1602 | 2020-04-14 |
| 1386286979 | California Maternal Fetal Medicine Inc | Obstetrics & Gynecology | 1645 Creekside Dr Ste 200, Folsom, CA 95630-3832 | 2019-10-15 |
| 1235697244 | Maternal & Fetal Medicine Center of Southern Calif. Inc | Obstetrics & Gynecology | 17220 Rayen St, Sherwood Forest, CA 91325-2919 | 2019-03-08 |
| 1851892459 | Baychildren's Physicians | Obstetrics & Gynecology | 2970 Camino Diablo Ste 210, Walnut Creek, CA 94597 | 2018-02-28 |
| 1609393537 | James R. Shields, M.d., A Medical Corporation | Obstetrics & Gynecology | 7301 Medical Center Drive, #206, West Hills, CA 91307 | 2017-08-22 |
| 1912447137 | Baychildren's Physicians | Obstetrics & Gynecology | 3000 Colby St Ste 301, Berkeley, CA 94705-2058 | 2017-03-07 |
| 1396145116 | Ginni S. Rosenfeld, Md Inc | Obstetrics & Gynecology | 575 E Hardy St Ste 321, Inglewood, CA 90301-4052 | 2014-08-28 |
| 1801236401 | Ilina Datkhaeva Pluym | Obstetrics & Gynecology | 200 Medical Plaza Dr, Los Angeles, CA 90095-2401 | 2013-06-27 |
| 1003196692 | Los Angeles Perinatal Associates | Obstetrics & Gynecology | 529 E 10th St, 2nd Floor, Long Beach, CA 90813-4508 | 2011-08-26 |
| Find all providers with the same taxonomy | ||||
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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.