SHASTA COMMUNITY MEDICAL GROUP – NPI #1861626129
Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
SHASTA COMMUNITY MEDICAL GROUP is a surgeon located in REDDING, CA. NPPES has assigned the NPI number 1861626129 to SHASTA COMMUNITY MEDICAL GROUP on May 14, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHASTA COMMUNITY MEDICAL GROUP” is a dba name, the actual legal business name for this organization is SHASTA REGIONAL MEDICAL GROUP INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery
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 COMMUNITY MEDICAL GROUP below.
NPI Profile for
SHASTA REGIONAL MEDICAL GROUP INC
(more than 17 years ago)
REDDING, CA 96001-1153 Phone: (530) 244-8316 Fax:
VICTORVILLE, CA 92395-5794 Phone: (760) 241-8000 Fax: (760) 962-8021
PRESIDENT
Phone: (760) 241-8000
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 |
|---|---|---|
| 2086S0129X - Surgery / Vascular Surgery (Primary) |
CA | 26633 |
| 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) |
CA | 26633 |
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.