SHASTA REGIONAL MEDICAL GROUP INC NPI 1861626129

NPI Information

NPI: 1861626129
Provider Name: SHASTA REGIONAL MEDICAL GROUP INC

Doing Business As: SHASTA COMMUNITY MEDICAL GROUP

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1555 EAST ST STE 210
REDDING, CA
ZIP 96001
Phone: (530) 244-8316
Get Directions

SHASTA REGIONAL MEDICAL GROUP INC is a vascular surgery surgery in Redding, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SHASTA REGIONAL MEDICAL GROUP INC NPI is 1861626129. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shasta Community Medical Group.

The provider's business location address is:

1555 EAST ST STE 210
REDDING, CA
ZIP 96001-153
Phone: (530) 244-8316

The provider's authorized official is Venkamma Reddy .
The authorized official title is President and has the following contact phone number (760) 241-8000.

The enumeration date for this NPI number is 5/14/2009 and was last updated on 5/14/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		26633	CALIFORNIA	No
2	2086S0129X	Surgery	Vascular Surgery	26633	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »