- Medicare Dental Clinic in Shasta Lake, CA

  1. Home
  2. Dental Clinics
  3. CA
  4. Shasta Lake
is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Shasta Lake, California. The current practice location for is 4215 Front St, Shasta Lake, California. For appointments, you can reach them via phone at (530) 246-5896. The mailing address for is Po Box 992790, Redding, California and phone number is (530) 246-5896.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013932797. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (530) 246-5896.

Contact Information

4215 Front St
Shasta Lake
CA 96019-9430
(530) 246-5896
(530) 241-7838

Map and Direction


Dental Care Clinic Profile

Full Name
SpecialityClinic/Center
Location4215 Front St, Shasta Lake, California
Authorized Official Name and PositionJeffery Brandon Thornock (CEO)
Authorized Official Contact5302465074
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 992790
Redding
CA 96099-2790

Ph: (530) 246-5896
4215 Front St
Shasta Lake
CA 96019-9430

Ph: (530) 246-5896

NPI Details:

NPI Number1013932797
Provider Enumeration Date07/13/2006
Last Update Date10/16/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3870579816
Medicare Enrollment IDO20100625000635

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013932797NPI-NPPES
FHC70877FOtherCASCHC-SLC MEDI-CAL NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 230000325 (California)Secondary
207Q00000XFamily Medicine 230000325 (California)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
363AM0700XPhysician Assistant - Medical 230000325 (California)Secondary
363LF0000XNurse Practitioner - Family 230000325 (California)Secondary

Reviews and Comments


Dental Clinics in Shasta Lake, CA

Zhi Bin Ji Dental Corporation
Dental Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4340 Shasta Dam Blvd, Shasta Lake, CA 96019
Phone: 530-275-2910    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.