SHASTA COMMUNITY HEALTH CENTER (NPI# 1891710638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891710638 |
| Entity Type | Organization |
| Organization Name | SHASTA COMMUNITY HEALTH CENTER |
| Practice Address |
1035 Placer St Redding CA 96001-1125 |
| Mailing Address |
Po Box 992790 Redding CA 96099-2790 |
| Practice Telephone | 5302465710 |
| Practice Fax Number | 5302417838 |
| Mailing Telephone | 5302465710 |
| Mailing Fax Number | 5302417838 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DEAN C. GERMANO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5302465726 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | CA | Behavioral Health & Social Service Providers | |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
CA | Behavioral Health & Social Service Providers | |
| X | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
CA | Allopathic & Osteopathic Physicians | |
| X | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians | |
| X | 207R00000X | Internal Medicine | CA | Allopathic & Osteopathic Physicians | |
| X | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
CA | Allopathic & Osteopathic Physicians | |
| X | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
CA | Allopathic & Osteopathic Physicians | |
| X | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
CA | Allopathic & Osteopathic Physicians | |
| X | 207V00000X | Obstetrics & Gynecology | CA | Allopathic & Osteopathic Physicians | |
| X | 208000000X | Pediatrics | CA | Allopathic & Osteopathic Physicians | |
| X | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
CA | Allopathic & Osteopathic Physicians | |
| X | 208200000X | Plastic Surgery | CA | Allopathic & Osteopathic Physicians | |
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
CA | Allopathic & Osteopathic Physicians | |
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
CA | Physician Assistants & Advanced Practice Nursing Providers | |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SCHC MEDI-CAL NUMBER | FHC70418F | 01 |
| 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 |
| 1710450929 | Shasta Community Health Center | Obstetrics & Gynecology | 1900 Railroad Ave, Redding, CA 96001-1802 | 2019-01-10 |
| 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 |
| 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 |
1035 PLACER ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407840895 | Jeffrey A Bosworth | Family Medicine | 1035 Placer St, Redding, CA 96001-1125 | 2005-08-31 |
| 1669086849 | Morgan Borges | Registered Nurse | 1035 Placer St, Redding, CA 96001-1170 | 2020-09-03 |
| 1417569575 | Breanna Marie Lazar | Nurse Practitioner | 1035 Placer St, Redding, CA 96001-1170 | 2020-08-20 |
| 1548872591 | Emily Ann Bollin | Registered Nurse | 1035 Placer St, Redding, CA 96001-1170 | 2020-08-20 |
| 1144847351 | Christa Mckenzie | Nurse Practitioner | 1035 Placer St, Redding, CA 96001-1170 | 2020-07-03 |
| 1013539824 | Reisa Rara | Student in an Organized Health Care Education/Training Program | 1035 Placer St, Redding, CA 96001-1170 | 2020-05-14 |
| 1912536798 | Muhammad Kamal Iftikhar | Student in an Organized Health Care Education/Training Program | 1035 Placer St, Redding, CA 96001-1170 | 2020-04-03 |
| 1043847338 | Kari Michelle Barnard | Student in an Organized Health Care Education/Training Program | 1035 Placer St, Redding, CA 96001-1170 | 2020-03-25 |
| 1790312098 | Landin Hagge | Student in an Organized Health Care Education/Training Program | 1035 Placer St, Redding, CA 96001-1170 | 2020-03-25 |
| 1730711516 | Taylor Marie Cardoza | Nurse Practitioner | 1035 Placer St, Redding, CA 96001-1170 | 2020-02-10 |
| Find all providers in the same location | ||||
| 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 | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396234126 | Jessica Buick | Clinical Neuropsychologist | 242 Hartnell Ave, Redding, CA 96002-1844 | 2018-05-07 |
| 1477090488 | Center for Neuropsychology, A Psychological Corporation | Clinical Neuropsychologist | 1640 Tehama St Ste C, Redding, CA 96001-1681 | 2017-01-28 |
| 1922411396 | Tammy Grabreck | Clinical Neuropsychologist | 1640 Tehama St, Suite C, Redding, CA 96001-1681 | 2014-06-03 |
| 1235220815 | David E Mcgee-williams | Clinical Neuropsychologist | 1335 Buenaventura Blvd, Redding, CA 96001-0160 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
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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.