CCMMA CA PC NPI 1679293443

NPI Information

  • NPI: 1679293443
  • Provider Name: CCMMA CA PC
  • Classification: Anesthesiology - 207LC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Address: 1100 BUTTE ST
    REDDING, CA
    ZIP 96001
  • Phone: (530) 244-5400

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NPI Details

CCMMA CA PC is a critical care medicine anesthesiology in Redding, CA. The provider is an anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. CCMMA CA PC NPI is 1679293443. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 BUTTE ST
REDDING, CA
ZIP 96001-852
Phone: (530) 244-5400
Fax: (888) 220-6560

The provider's authorized official is Laurie Laduca .
The authorized official title is Credentialing Manager and has the following contact phone number (845) 702-2711.

The enumeration date for this NPI number is 8/31/2022 and was last updated on 9/11/2025.

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
1207RC0200XInternal MedicineCritical Care MedicineNo
2208600000XSurgeryNo
3207RP1001XInternal MedicinePulmonary DiseaseNo
4207LC0200XAnesthesiologyCritical Care MedicineYes

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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