SHASTA INTEGRATIVE HEALTH (NPI# 1750806352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750806352 |
| Entity Type | Organization |
| Organization Name | SHASTA INTEGRATIVE HEALTH |
| Practice Address |
85 Hartnell Ave Ste 100 Redding CA 96002-1888 |
| Practice Telephone | (530) 222-1777 |
| Practice Fax Number | 5302221879 |
| Mailing Telephone | 5302221777 |
| Mailing Fax Number | 5302221879 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | DR. ROBERT PORZIO (PRESIDENT) |
| Authorized Official Telephone | 5302221777 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 1285654921 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
85 HARTNELL AVE STE 100 |
| City | REDDING |
| State | CA |
| Zip Code | 96002-1888 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689944530 | Benjamin Shettell, Md | General Practice | 2632 Edith Ave Ste B, Redding, CA 96001-3031 | 2012-01-10 |
| 1952531758 | David James Kyle | General Practice | 1907 Vale Dr, Redding, CA 96002-1601 | 2009-07-15 |
| 1396961470 | Kenneth S Koenig | General Practice | 8935 Olney Park Dr, Redding, CA 96001-9717 | 2007-04-18 |
| 1598774499 | Barry Blaine Billington | General Practice | 1115 Whiskeytown Court, Suite A, Redding, CA 96001 | 2006-08-07 |
| 1548205826 | Rioh Medical Group | General Practice | 1710 Churn Creek Rd, Redding, CA 96002-0236 | 2006-06-19 |
| 1861446528 | Rodney M Thompson | General Practice | 1710 Churn Creek Road, Redding, CA 96002 | 2006-05-19 |
| 1871721100 | Sean Patrick Dugan | General Practice | 1035 Placer St, Redding, CA 96001-4545 | 2009-06-25 |
| 1013119353 | Andrew L Knapp Do PC | General Practice | 1100 Butte St, Redding, CA 96001-0852 | 2007-05-31 |
| 1306931969 | David J. Weist, Md, Inc | General Practice | 1100 Butte Street, Redding, CA 96001 | 2006-10-03 |
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| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| 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.