MOSSBRAE MEDICAL GROUP P.C. NPI 1619533072

NPI Information

  • NPI: 1619533072
  • Provider Name: MOSSBRAE MEDICAL GROUP P.C.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Doing Business As: REMOTE AREA MEDICINE
  • Address: 234 GATEWAY PARK DR
    MOUNT SHASTA, CA
    ZIP 96067
  • Phone: (530) 240-4855

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NPI Details

MOSSBRAE MEDICAL GROUP P.C. is an emergency medicine in Mount Shasta, CA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MOSSBRAE MEDICAL GROUP P.C. NPI is 1619533072. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Remote Area Medicine.

The provider's business location address is:

234 GATEWAY PARK DR
MOUNT SHASTA, CA
ZIP 96067-236
Phone: (530) 240-4855

The provider's authorized official is Aaron Michael Stutz .
The authorized official title is Chief Executive Officer and has the following contact phone number (530) 240-4855.

The enumeration date for this NPI number is 5/11/2019 and was last updated on 12/24/2024.

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
1207P00000XEmergency MedicineYes
2207PE0004XEmergency MedicineEmergency Medical ServicesNo
3251E00000XHome HealthNo
4261QP2300XClinic/CenterPrimary CareNo
5363A00000XPhysician AssistantNo
6364SH0200XClinical Nurse SpecialistHome HealthNo

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: 11/21/2025

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