Provider Type Icon

OBSTETRICS AND GYNECOLOGY MEDICAL ASSOCIATES OF REDDING INC. NPI 1619053899


NPI Information

NPI: 1619053899
Provider Name: OBSTETRICS AND GYNECOLOGY MEDICAL ASSOCIATES OF REDDING, INC.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 05D0928168

Address:
2626 EDITH AVENUE
SUITE B
REDDING, CA
ZIP 96001
Phone: (530) 244-2130
Get Directions

OBSTETRICS AND GYNECOLOGY MEDICAL ASSOCIATES OF REDDING, INC. is an obstetrics gynecology in Redding, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OBSTETRICS AND GYNECOLOGY MEDICAL ASSOCIATES OF REDDING, INC. NPI is 1619053899. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2626 EDITH AVENUE
SUITE B
REDDING, CA
ZIP 96001
Phone: (530) 244-2130
Fax: (530) 244-8071

The provider's authorized official is Becky S Gabrielson .
The authorized official title is Manager and has the following contact phone number (530) 244-2130.

The CLIA number assigned to this NPI record is 05D0928168 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 12/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E07465MEDICARE UPIN
200G399660MEDICAIDCALIFORNIA
3A26824MEDICARE UPIN
400A325060MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
500A432370MEDICAIDCALIFORNIA
6A48037MEDICARE UPIN
700A432370MEDICARE ID-TYPE UNSPECIFIED
800G399660MEDICARE ID-TYPE UNSPECIFIED
900A325060MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.