CCMMA CA PC – NPI #1679293443
Anesthesiology

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 is an anesthesiologist located in REDDING, CA. NPPES has assigned the NPI number 1679293443 to CCMMA CA PC on August 31, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 9 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LC0200X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Critical Care Medicine

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCMMA CA PC below.

NPI Profile for
CCMMA CA PC

NPI Number
1679293443
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCMMA CA PC
Primary location
1100 BUTTE ST
REDDING, CA 96001-0852
Phone: (530) 244-5400 Fax: (888) 220-6560
9 Other location(s):
1749 Sonoma Ave
Berkeley, CA 94707-2547
Phone: (845) 702-2711
Fax: (888) 220-6560
120 N Delaware St
Sandusky, MI 48471-1009
Phone: (810) 648-3770
Fax: (888) 220-6560
201 NW R D Mize Rd
Blue Springs, MO 64014-2513
Phone: (816) 228-5900
Fax: (888) 220-6560
350 Boulevard
Passaic, NJ 07055-2840
Phone: (973) 365-4300
Fax: (888) 220-6560
2 Park Ave Ste 2039
New York, NY 10016-5675
Phone: (845) 702-2711
425 W 5th St
East Liverpool, OH 43920-2498
Phone: (330) 385-7200
Fax: (888) 220-6560
600 S Monroe St
Enid, OK 73701-7211
Phone: (580) 233-2300
Fax: (888) 220-6560
129 N Washington St
Sumter, SC 29150-4949
Phone: (803) 774-9000
Fax: (888) 220-6560
6565 Fannin St
Houston, TX 77030-2703
Phone: (713) 790-3311
Fax: (888) 220-6560
Mailing address
PO BOX 631917
CINCINNATI, OH 45263-1917
Phone: (845) 702-2711 Fax:
Organization Subpart
No
Authorized Official
LAURIE LADUCA
CREDENTIALING MANAGER
Phone: (845) 702-2711
Updated
Certification Date
Sep 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.