LASSEN MEDICAL GROUP INC NPI 1003955758

NPI Information

NPI: 1003955758
Provider Name: LASSEN MEDICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA
ZIP 96080
Phone: (530) 527-0141
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LASSEN MEDICAL GROUP INC is a family medicine in Red Bluff, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LASSEN MEDICAL GROUP INC NPI is 1003955758. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2450 SISTER MARY COLUMBA DR
RED BLUFF, CA
ZIP 96080-356
Phone: (530) 527-0141
Fax: (530) 527-3720

The provider's authorized official is Agnes Fischer .
The authorized official title is Controller and has the following contact phone number (530) 528-4477.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 6/28/2013.

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 Code	Taxonomy Clasification	Primary
1	207R00000X	Internal Medicine	No
2	208000000X	Pediatrics	No
3	207Q00000X	Family Medicine	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LAB18474F	MEDICAID	CALIFORNIA
2	YYY20230Y	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE PART B
3	553955	MEDICARE PIN
4	GR0089250	MEDICAID	CALIFORNIA
5	RHM53955F	MEDICAID	CALIFORNIA
6	LAB18474G	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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