SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC. – NPI #1245249770
Internal Medicine

An internist who 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.

Health Care Provider Taxonomy Code for Internal Medicine

SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC. is a provider located in REDDING, CA. NPPES has assigned the NPI number 1245249770 to SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC. on August 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was last updated on Oct 02, 2024. 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 SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC. below.

NPI Profile for
SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC.

NPI Number
1245249770
Enumeration Date

(about 20 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
SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC.
Primary location
2701 OLD EUREKA WAY
SUITE 1E
REDDING, CA 96001-0228
Phone: (530) 232-3000 Fax: (530) 232-3099
Mailing address
2701 OLD EUREKA WAY STE 1E
REDDING, CA 96001-0228
Phone: (530) 232-3000 Fax: (530) 242-8545
Organization Subpart
No
Authorized Official
RAFAEL LUPERCIO
AUTHORIZED OFFICIAL
Phone: (530) 232-3000
Updated
Certification Date
Oct 02, 2024

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.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)		 CA
207RP1001X
- Internal Medicine / Pulmonary Disease		 CA
207RN0300X
- Internal Medicine / Nephrology		 CA

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.