REDDING PEDIATRICS, INC (NPI# 1720415011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720415011 |
| Entity Type | Organization |
| Organization Name | REDDING PEDIATRICS, INC |
| Other Organization Name | RAILEEN CARREON LAGOC,MD.,INC. |
| Practice Address |
1850 Rosaline Ave Redding CA 96001-2534 |
| Practice Telephone | 5302446534 |
| Practice Fax Number | 5302446595 |
| Mailing Telephone | 5302446534 |
| Mailing Fax Number | 5302446595 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-03 |
| Authorized Official Name | DR. RAILEEN CARREON LAGOC (PHYSICIAN) |
| Authorized Official Telephone | 5302446534 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A72405 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Raileen Carreon Lagoc,MD.,Inc. | Former Legal Business Name - Organization |
| Street Address |
1850 ROSALINE AVE |
| City | REDDING |
| State | CA |
| Zip Code | 96001-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356319651 | Raileen C Lagoc | Pediatrics | 1850 Rosaline Ave, Redding, CA 96001-2534 | 2006-03-10 |
| 1083737100 | Cardio Vascular Imaging Services Inc | Spec/Tech, Cardiovascular | 1850 Rosaline Ave, Redding, CA 96001 | 2007-04-06 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881753382 | Andre Van Mol Md | Clinic/Center | 3580 Santa Rosa Way, Redding, CA 96003 | 2006-12-08 |
| 1295130821 | Prestige Urgent Care, LLC | Clinic/Center | 3689 Eureka Way, Redding, CA 96001-0177 | 2014-10-24 |
| 1609292457 | Carl Wolfer Md | Clinic/Center | 1555 East St, Redding, CA 96001-1153 | 2014-03-17 |
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| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
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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.