| Dignity Health Mercy Oncology Center | |
|
310 Hartnell Ave Redding CA 96002 | |
| (530) 225-6000 | |
| Not Available |
| Full Name | Dignity Health Mercy Oncology Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 Hartnell Ave, Redding, California |
| Authorized Official Name and Position | Kim Miranda (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5302256121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Health Mercy Oncology Center 3400 Data Dr 1st Floor Rancho Cordova CA 95670-7956 Ph: (530) 225-6300 | Dignity Health Mercy Oncology Center 310 Hartnell Ave Redding CA 96002 Ph: (530) 225-6000 |
| NPI Number | 1336588870 |
|---|---|
| Provider Enumeration Date | 06/18/2013 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/07/2022 |
| Medicare PECOS PAC ID | 2062320559 |
|---|---|
| Medicare Enrollment ID | O20081223000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336588870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | () | Secondary |
| 261QX0200X | Clinic/center - Oncology | () | Primary |
| Provider Name | Rene E Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265556583 PECOS PAC ID: 4183616972 Enrollment ID: I20040401000324 |
| Provider Name | Andrew Solkovits |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487643250 PECOS PAC ID: 1052390937 Enrollment ID: I20040714001619 |
| Provider Name | Gregory B Hicks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649384553 PECOS PAC ID: 6406819333 Enrollment ID: I20041110001185 |
| Provider Name | Gary R Cecchi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861480857 PECOS PAC ID: 9931164548 Enrollment ID: I20041124000323 |
| Provider Name | Sarah Minasyan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669646451 PECOS PAC ID: 9335104694 Enrollment ID: I20041129000293 |
| Provider Name | Jay S Roitman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366461220 PECOS PAC ID: 1052363900 Enrollment ID: I20050218000441 |
| Provider Name | Keith J Ure |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548261225 PECOS PAC ID: 3870548142 Enrollment ID: I20050318000895 |
| Provider Name | Jolene Angel Kingsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639195837 PECOS PAC ID: 7810944600 Enrollment ID: I20050404000967 |
| Provider Name | Jeffrey a Bosworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407840895 PECOS PAC ID: 1557318367 Enrollment ID: I20050404001145 |
| Provider Name | Michelle a Sager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285789107 PECOS PAC ID: 2860439783 Enrollment ID: I20050412001387 |
| Provider Name | Ronald Lee Renard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497792436 PECOS PAC ID: 8921033739 Enrollment ID: I20050929001286 |
| Provider Name | Mark O Nichols |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922196575 PECOS PAC ID: 1658350533 Enrollment ID: I20051012001127 |
| Provider Name | Elizabeth a Odumakinde |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952408999 PECOS PAC ID: 2668492414 Enrollment ID: I20051123000166 |
| Provider Name | Shane M Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013923598 PECOS PAC ID: 5799705729 Enrollment ID: I20051205000828 |
| Provider Name | Vincent Chi-wing Lo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275640864 PECOS PAC ID: 6204857022 Enrollment ID: I20051208000369 |
| Provider Name | Jed L Freeman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275669038 PECOS PAC ID: 3870504525 Enrollment ID: I20060510000123 |
| Provider Name | William Bonis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689779209 PECOS PAC ID: 4587675178 Enrollment ID: I20060510000546 |
| Provider Name | Jennifer Lynn Moranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407894702 PECOS PAC ID: 0749292704 Enrollment ID: I20060613000111 |
| Provider Name | Michael D Jorde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629090709 PECOS PAC ID: 7416939145 Enrollment ID: I20070426000388 |
| Provider Name | Veronique Tache |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720055478 PECOS PAC ID: 6507967064 Enrollment ID: I20070727000330 |
| Provider Name | Luke Marshall Rawlings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861682627 PECOS PAC ID: 0143315408 Enrollment ID: I20071001000803 |
| Provider Name | Jorge Pena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881799658 PECOS PAC ID: 7911093141 Enrollment ID: I20071018000461 |
| Provider Name | Thomas J Perry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073533311 PECOS PAC ID: 5496737124 Enrollment ID: I20071110000165 |
| Provider Name | Donald Paul Lombardi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1053339788 PECOS PAC ID: 7911975149 Enrollment ID: I20080114000321 |
| Provider Name | Jerome Davis Booker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447472857 PECOS PAC ID: 6103902572 Enrollment ID: I20080325000712 |
| Provider Name | Lowell Albert Wetter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417098427 PECOS PAC ID: 1557448529 Enrollment ID: I20080402000177 |
| Provider Name | Ronald E Reece |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144288523 PECOS PAC ID: 0749369635 Enrollment ID: I20080502000608 |
| Provider Name | David G Holst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164416764 PECOS PAC ID: 5799710497 Enrollment ID: I20080529000454 |
| Provider Name | Ronald K Lagro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922092527 PECOS PAC ID: 0345275046 Enrollment ID: I20080529000717 |
| Provider Name | James MU |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700875572 PECOS PAC ID: 9931102514 Enrollment ID: I20080603000806 |
| Provider Name | Donna a Holscher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306971148 PECOS PAC ID: 4587735691 Enrollment ID: I20080617000753 |
| Provider Name | Lee E Shoop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023143146 PECOS PAC ID: 3274604384 Enrollment ID: I20080617000787 |
| Provider Name | Douglas B Mcmullin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487681185 PECOS PAC ID: 0042214942 Enrollment ID: I20080724000700 |
| Provider Name | Nancy T Field |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487636296 PECOS PAC ID: 5799859237 Enrollment ID: I20080801000222 |
| Provider Name | Jill Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790839355 PECOS PAC ID: 1355409087 Enrollment ID: I20081023000566 |
| Provider Name | Ronald G Chambers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053450783 PECOS PAC ID: 9436218344 Enrollment ID: I20081107000016 |
| Provider Name | Clinton E Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235282559 PECOS PAC ID: 5092874768 Enrollment ID: I20081110000672 |
| Provider Name | Arun Kalra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356489181 PECOS PAC ID: 8921031659 Enrollment ID: I20081210000905 |
| Provider Name | Timothy R Takagi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235237645 PECOS PAC ID: 0244393114 Enrollment ID: I20090120000726 |
| Provider Name | Candace M Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902903875 PECOS PAC ID: 1153484027 Enrollment ID: I20090120000728 |
| Provider Name | John Siebel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780741306 PECOS PAC ID: 7517021082 Enrollment ID: I20090128000074 |
| Provider Name | Steven C Namihas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831293083 PECOS PAC ID: 4688730435 Enrollment ID: I20090304000174 |
| Provider Name | Duane Bland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336235779 PECOS PAC ID: 0345306882 Enrollment ID: I20090306000435 |
| Provider Name | John L Coe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043304512 PECOS PAC ID: 9133286180 Enrollment ID: I20090319000210 |
| Provider Name | Nena L Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457447518 PECOS PAC ID: 6800953712 Enrollment ID: I20090320000207 |
| Provider Name | Howard W Fellows |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659365526 PECOS PAC ID: 3971543943 Enrollment ID: I20090519000224 |
| Provider Name | Paula a Amacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598916884 PECOS PAC ID: 7012069628 Enrollment ID: I20090713000347 |
| Provider Name | Maria M Nicora Bia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174785489 PECOS PAC ID: 9133272156 Enrollment ID: I20090807000517 |
| Provider Name | Phyllis Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932166519 PECOS PAC ID: 5799821450 Enrollment ID: I20091009000340 |
| Provider Name | Debra Lupeika |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780697607 PECOS PAC ID: 9335285733 Enrollment ID: I20091014000668 |
| Provider Name | Paul R Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609989532 PECOS PAC ID: 9234175498 Enrollment ID: I20091014000790 |
| Provider Name | Gregory a Skipitis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912021221 PECOS PAC ID: 4284616921 Enrollment ID: I20091211000480 |
| Provider Name | Douglas Hatter |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649368259 PECOS PAC ID: 4284709981 Enrollment ID: I20100504000662 |
| Provider Name | Paul Julius Spinka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457340937 PECOS PAC ID: 5092896498 Enrollment ID: I20100823001002 |
| Provider Name | Shafqat Akhtar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700960788 PECOS PAC ID: 4880880202 Enrollment ID: I20101124000979 |
| Provider Name | Tony Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871784678 PECOS PAC ID: 9436346608 Enrollment ID: I20101214000742 |
| Provider Name | Philip D Sardar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912079724 PECOS PAC ID: 1153507181 Enrollment ID: I20110509000697 |
| Provider Name | Brian Kim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871532051 PECOS PAC ID: 7517918980 Enrollment ID: I20110718000370 |
| Provider Name | Nina M Boe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407839764 PECOS PAC ID: 1557535242 Enrollment ID: I20111115000134 |
| Provider Name | Sidney M Crain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366520041 PECOS PAC ID: 8628224433 Enrollment ID: I20120810000255 |
| Provider Name | Jorge Perez-cardona |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801829635 PECOS PAC ID: 1153214150 Enrollment ID: I20130528000347 |
| Provider Name | Alireza Abdolmohammadi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1871816207 PECOS PAC ID: 2860526522 Enrollment ID: I20130624000463 |
| Provider Name | Richard C Caylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881984144 PECOS PAC ID: 5193965119 Enrollment ID: I20130715000618 |
| Provider Name | Jennifer Anne Kang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417132572 PECOS PAC ID: 5092830075 Enrollment ID: I20131116000025 |
| Provider Name | Laura Haagenson Dipaolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326397936 PECOS PAC ID: 1254575640 Enrollment ID: I20140909002119 |
| Provider Name | Eric J Keyser |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1083723803 PECOS PAC ID: 8527020056 Enrollment ID: I20141010001610 |
| Provider Name | Nancy Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548508260 PECOS PAC ID: 3274856265 Enrollment ID: I20141223002345 |
| Provider Name | Kyle Greene |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033470364 PECOS PAC ID: 1951626092 Enrollment ID: I20150211001595 |
| Provider Name | Meghan C Leininger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952615098 PECOS PAC ID: 4284951948 Enrollment ID: I20150318001394 |
| Provider Name | Navjot Dhillon |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1467608885 PECOS PAC ID: 6002121381 Enrollment ID: I20150814014431 |
| Provider Name | Toussaint L'overture Mears-clarke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477895936 PECOS PAC ID: 0244545317 Enrollment ID: I20150818006133 |
| Provider Name | Pamela Rose Knickerbocker |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164561353 PECOS PAC ID: 0345313979 Enrollment ID: I20150819009313 |
| Provider Name | Amanda Mooneyham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962709568 PECOS PAC ID: 6103120506 Enrollment ID: I20160316002375 |
| Provider Name | Paul M Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033464656 PECOS PAC ID: 1355665035 Enrollment ID: I20160317002243 |
| Provider Name | Meuy Saechao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558615369 PECOS PAC ID: 1557653037 Enrollment ID: I20160630002242 |
| Provider Name | Sharon E Joo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568704138 PECOS PAC ID: 9335372937 Enrollment ID: I20160817002903 |
| Provider Name | Dyanesh Bapu G Ravindran |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659387132 PECOS PAC ID: 2769493543 Enrollment ID: I20160913001307 |
| Provider Name | David J Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700189404 PECOS PAC ID: 8820229172 Enrollment ID: I20170511002500 |
| Provider Name | R Bryan Scott Klassen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912281783 PECOS PAC ID: 1153693478 Enrollment ID: I20170822001951 |
| Provider Name | David W Yoon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689075582 PECOS PAC ID: 1052695269 Enrollment ID: I20170822002364 |
| Provider Name | Matthew T Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487910238 PECOS PAC ID: 8022315464 Enrollment ID: I20170823000987 |
| Provider Name | Tychelle Yvette Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134648595 PECOS PAC ID: 0547527798 Enrollment ID: I20171127002192 |
| Provider Name | Sarah C Chaffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235561671 PECOS PAC ID: 9234484114 Enrollment ID: I20180618001216 |
| Provider Name | Isaiah J C Roggow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225562119 PECOS PAC ID: 3375872450 Enrollment ID: I20190916001654 |
| Provider Name | Peter J Sunenshine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487610937 PECOS PAC ID: 0749238848 Enrollment ID: I20200415001272 |
| Provider Name | John Chingswei Chen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902993058 PECOS PAC ID: 2062305808 Enrollment ID: I20200812003468 |
| Provider Name | Myles Julian Ketchum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093249864 PECOS PAC ID: 1052664307 Enrollment ID: I20200908000789 |
| Provider Name | Haroon Rehman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1952784852 PECOS PAC ID: 9234448077 Enrollment ID: I20210216001648 |
| Provider Name | Zeeshan M Siddiqui |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1699328567 PECOS PAC ID: 2365862000 Enrollment ID: I20210628002754 |
| Provider Name | Prabhjot Bhinder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326437468 PECOS PAC ID: 2769768621 Enrollment ID: I20210706001028 |
| Provider Name | Melanie a Chorvat |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376065847 PECOS PAC ID: 9638445513 Enrollment ID: I20210728002251 |
| Provider Name | Neil N Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992817613 PECOS PAC ID: 8527069269 Enrollment ID: I20210914001305 |
| Provider Name | Jennifer a Dornbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861877037 PECOS PAC ID: 4587979968 Enrollment ID: I20211108001339 |
| Provider Name | Maher Dakroub |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427438928 PECOS PAC ID: 1052626629 Enrollment ID: I20211201000910 |
| Provider Name | Sarah Jane Turner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720240096 PECOS PAC ID: 1759502131 Enrollment ID: I20220208002183 |
| Provider Name | Katelyn Santana White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730661521 PECOS PAC ID: 2163773763 Enrollment ID: I20220524001180 |
| Provider Name | Darren Jason Russell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164849212 PECOS PAC ID: 0446548838 Enrollment ID: I20220819001963 |
| Provider Name | Kelsey Elizabeth Sloat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588044606 PECOS PAC ID: 5991188971 Enrollment ID: I20220824002253 |
| Provider Name | Samuel G Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255990297 PECOS PAC ID: 2062817653 Enrollment ID: I20220912000631 |
| Provider Name | Dai Le |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487652996 PECOS PAC ID: 3476532912 Enrollment ID: I20220912003783 |
| Provider Name | Kelly Morgan Simone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689916363 PECOS PAC ID: 5092948604 Enrollment ID: I20221102002192 |
| Provider Name | Calvin John Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780188755 PECOS PAC ID: 7618365867 Enrollment ID: I20221110001592 |
| Provider Name | Senan Isabelle Kakpo-moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629670203 PECOS PAC ID: 4082083365 Enrollment ID: I20221208000360 |
| Provider Name | Nicholas Germano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801328786 PECOS PAC ID: 2062783574 Enrollment ID: I20230525000526 |
| Provider Name | Okkes Kuybu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336502707 PECOS PAC ID: 1759678311 Enrollment ID: I20230605001441 |
| Provider Name | Chelsea Hastings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942654371 PECOS PAC ID: 1254625221 Enrollment ID: I20230620001486 |
| Provider Name | David Greentree |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972208023 PECOS PAC ID: 3476907254 Enrollment ID: I20230927002899 |
| Provider Name | Joshua Romain |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528447448 PECOS PAC ID: 4587947213 Enrollment ID: I20231227001435 |
| Provider Name | Jacqueline Mae Beckford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548921877 PECOS PAC ID: 9830533900 Enrollment ID: I20240216000551 |
| Provider Name | Tanisha Henry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003879735 PECOS PAC ID: 4587670906 Enrollment ID: I20240306003306 |
| Provider Name | Kelsie Cabrera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689026809 PECOS PAC ID: 4082909361 Enrollment ID: I20240329001313 |
| Provider Name | Bradley H Pike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972594125 PECOS PAC ID: 1850315847 Enrollment ID: I20240708001790 |
| Provider Name | Chukwuka Anthony Didigu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154716389 PECOS PAC ID: 1456892421 Enrollment ID: I20240917004566 |
| Provider Name | Mark Jeffrey Mogul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336113752 PECOS PAC ID: 0042244972 Enrollment ID: I20241024004407 |
| Provider Name | Minh Quan Vu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609484641 PECOS PAC ID: 1456756055 Enrollment ID: I20241122002985 |
| Provider Name | Ayodele Ganiyu Ayoola |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164558763 PECOS PAC ID: 8820181431 Enrollment ID: I20241122003723 |
| Provider Name | David J Levine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861953671 PECOS PAC ID: 1759617830 Enrollment ID: I20250122001735 |
| Provider Name | Daniel Desmond |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063892214 PECOS PAC ID: 0941585020 Enrollment ID: I20250326003830 |
| Provider Name | Liza J Knight |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699444638 PECOS PAC ID: 9436557261 Enrollment ID: I20250403003784 |
| Provider Name | Ping S Chu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316957368 PECOS PAC ID: 9931126182 Enrollment ID: I20250422001988 |
| Provider Name | Ross M Michels |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679740211 PECOS PAC ID: 7012134497 Enrollment ID: I20250506001226 |
| Provider Name | Bradley Sackfield |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851920409 PECOS PAC ID: 3173037413 Enrollment ID: I20250709000281 |
| Provider Name | Caleb Andrew Newton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144979402 PECOS PAC ID: 4789067620 Enrollment ID: I20250729003240 |
| Provider Name | Todd Decarlis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598004152 PECOS PAC ID: 4880830850 Enrollment ID: I20250730002475 |
| Provider Name | John M Katana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215194733 PECOS PAC ID: 3375732175 Enrollment ID: I20250813003498 |
| Provider Name | Sonesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184121212 PECOS PAC ID: 1850724196 Enrollment ID: I20250820004034 |
| Provider Name | Joanne Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487957338 PECOS PAC ID: 0648495192 Enrollment ID: I20250917001457 |
| Provider Name | Vijay Rao |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982725180 PECOS PAC ID: 7810095007 Enrollment ID: I20251009002747 |
| Provider Name | Stephanie Slagle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548458656 PECOS PAC ID: 4981890076 Enrollment ID: I20251103004076 |
| Provider Name | Joshua Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093334567 PECOS PAC ID: 6002267556 Enrollment ID: I20260316000587 |
Andrew L Knapp DO PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Butte St, Redding, CA 96001 Phone: 530-243-0498 |
Than T Aung MD Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2421 Old Eureka Way, Redding, CA 96001 Phone: 530-225-8775 Fax: 530-225-8778 |
Shasta Community College - Student Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11555 Old Oregon Trl, Redding, CA 96003 Phone: 530-242-7580 Fax: 530-225-4968 |
Excellence in Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2110 Railroad Ave., Redding, CA 96001 Phone: 530-243-1414 Fax: 530-243-0493 |
Prestige Urgent Care, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Hartnell Ave, Redding, CA 96002 Phone: 530-262-6001 |
Docs Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2147 Court St, Redding, CA 96001 Phone: 530-243-8667 Fax: 530-243-8742 |