MARTINEZ VAMC (NPI# 1730127762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730127762 |
| Entity Type | Organization |
| Organization Name | MARTINEZ VAMC |
| Other Organization Name | REDDING VA CBOC |
| Practice Address |
351 Hartnell Ave Redding CA 96002-1845 |
| Mailing Address |
Po Box 94412 Cleveland OH 44101-4412 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Redding VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851943104 | Martinez Vamc | Clinic/Center | 11985 Heritage Oak Pl Ste 100, Auburn, CA 95603-2413 | 2019-07-16 |
| 1073064408 | Martinez Vamc | Clinic/Center | 2860 Howe Rd, Martinez, CA 94553-4000 | 2016-10-20 |
| 1144638958 | Martinez Vamc | Clinic/Center | 101 East Oberlin Road, Yreka, CA 96097-9645 | 2014-07-24 |
| 1447523196 | Martinez Vamc | Clinic/Center | 425 Plumas Blvd, Yuba City, CA 95991-5074 | 2012-02-10 |
| 1598713703 | Martinez Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 Concord Avenue, Chico, CA 95928-9487 | 2006-05-04 |
| 1972995306 | Martinez Vamc | Clinic/Center | 525 21st St, Oakland, CA 94612-1605 | 2015-02-23 |
| 1033501465 | Martinez Vamc | Clinic/Center | 760 Cypress Ave, Suite 100, Redding, CA 96001-2732 | 2015-02-23 |
| 1124410550 | Martinez Vamc | Clinic/Center | 254 Cohasset Rd, Suite 20, Chico, CA 95926-2290 | 2015-02-23 |
| 1194826685 | Martinez Vamc | General Acute Care Hospital | 150 Muir Rd, Martinez, CA 94553-4668 | 2006-09-26 |
| 1225071756 | Martinez Vamc | Clinic/Center | 5342 Dudley Blvd, Mcclellan Air Force Base Building 88, Mcclellan, CA 95652-1012 | 2006-06-13 |
| Street Address |
351 HARTNELL AVE |
| City | REDDING |
| State | CA |
| Zip Code | 96002-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255329140 | David Joseph Paris | Chiropractor | 351 Hartnell Ave, Redding, CA 96002-1845 | 2005-10-13 |
| 1760090575 | Cassandra Diesner | Registered Nurse | 351 Hartnell Ave, Redding, CA 96002-1845 | 2020-07-17 |
| 1033727953 | Kenneth Robert Beamer | Registered Nurse | 351 Hartnell Ave, Redding, CA 96002-1845 | 2020-07-16 |
| 1114568573 | Trevor Towne | Social Worker | 351 Hartnell Ave, Redding, CA 96002-1845 | 2019-10-07 |
| 1427619592 | Rachel Leone | Pharmacist | 351 Hartnell Ave, Redding, CA 96002-1845 | 2019-06-27 |
| 1356902985 | Rebecca Labowe | Audiologist | 351 Hartnell Ave, Redding, CA 96002-1845 | 2019-06-25 |
| 1053877548 | Jessi Carolina Gandolfi | Psychologist | 351 Hartnell Ave, Redding, CA 96002-1845 | 2019-02-20 |
| 1336652197 | Daniel Shea | Social Worker | 351 Hartnell Ave, Redding, CA 96002-1845 | 2017-11-14 |
| 1972057669 | Rhonda Lynn Shelburne | Registered Nurse | 351 Hartnell Ave, Redding, CA 96002-1845 | 2016-08-10 |
| 1063864973 | Denise Yvette Sparrow | Registered Nurse | 351 Hartnell Ave, Redding, CA 96002-1845 | 2016-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| Find all providers in zip 96002 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770566093 | Va Nchcs | Clinic/Center | 2713 Montana Sky Dr, Redding, CA 96002-5186 | 2005-11-21 |
| 1033501465 | Martinez Vamc | Clinic/Center | 760 Cypress Ave, Suite 100, Redding, CA 96001-2732 | 2015-02-23 |
| 1245628411 | Dept. of Veteran's Affairs | Clinic/Center | 351 Hartnell Ave, Redding, CA 96002-1845 | 2014-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378030 | Long Beach Vamc | Clinic/Center | 1149 W 190th St Ste 100, Gardena, CA 90248-4321 | 2020-02-21 |
| 1841831617 | West Los Angeles Vamc | Clinic/Center | 7 W Foothill Blvd Ste D, Arcadia, CA 91006-2367 | 2019-10-03 |
| 1255972303 | William Loushion Mccollum | Clinic/Center | 831 Gulf Ave, Wilmington, CA 90744-4201 | 2019-09-30 |
| 1851943104 | Martinez Vamc | Clinic/Center | 11985 Heritage Oak Pl Ste 100, Auburn, CA 95603-2413 | 2019-07-16 |
| 1073064408 | Martinez Vamc | Clinic/Center | 2860 Howe Rd, Martinez, CA 94553-4000 | 2016-10-20 |
| 1548651516 | Loma Linda Vamc | Clinic/Center | 1273 W Hobsonway, Blythe, CA 92225-1423 | 2015-02-12 |
| 1538550694 | Long Beach Vamc | Clinic/Center | 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 | 2015-02-11 |
| 1780089847 | Yin Yang Health Care | Clinic/Center | 538 S Murphy Ave, Sunnyvale, CA 94086-6116 | 2014-10-30 |
| 1144638958 | Martinez Vamc | Clinic/Center | 101 East Oberlin Road, Yreka, CA 96097-9645 | 2014-07-24 |
| 1447523196 | Martinez Vamc | Clinic/Center | 425 Plumas Blvd, Yuba City, CA 95991-5074 | 2012-02-10 |
| 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.