| Redding Family Medical Group, Inc. | |
|
2510 Airpark Dr Suite 201 Redding CA 96001-2449 | |
| (530) 244-4034 | |
| (530) 244-1821 |
| Full Name | Redding Family Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2510 Airpark Dr, Redding, California |
| Authorized Official Name and Position | David W. Civalier (CORPORATE VICE PRESIDENT) |
| Authorized Official Contact | 5302444034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redding Family Medical Group, Inc. 2510 Airpark Dr Suite 201 Redding CA 96001-2449 Ph: (530) 244-4034 | Redding Family Medical Group, Inc. 2510 Airpark Dr Suite 201 Redding CA 96001-2449 Ph: (530) 244-4034 |
| NPI Number | 1487640868 |
|---|---|
| Provider Enumeration Date | 09/21/2005 |
| Last Update Date | 01/22/2020 |
| Medicare PECOS PAC ID | 4385691815 |
|---|---|
| Medicare Enrollment ID | O20050406000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487640868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kathleen G Breslin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730116435 PECOS PAC ID: 6800839192 Enrollment ID: I20050607001383 |
| Provider Name | Jorge Pena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881799658 PECOS PAC ID: 7911093141 Enrollment ID: I20071018000461 |
| Provider Name | Richard M Maples |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174552699 PECOS PAC ID: 6406850304 Enrollment ID: I20080724000539 |
| Provider Name | David A Short |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588694178 PECOS PAC ID: 4688678584 Enrollment ID: I20080724000568 |
| Provider Name | William S Harden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992734412 PECOS PAC ID: 7315941218 Enrollment ID: I20081222000289 |
| Provider Name | Elizabeth C Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578842944 PECOS PAC ID: 9830343342 Enrollment ID: I20130211000274 |
| Provider Name | Jessica E Bonnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669786653 PECOS PAC ID: 0941444160 Enrollment ID: I20130910000187 |
| Provider Name | Rachel Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346529310 PECOS PAC ID: 6608095468 Enrollment ID: I20140910001254 |
| Provider Name | Tollin K Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922387091 PECOS PAC ID: 5294954863 Enrollment ID: I20140912001118 |
| Provider Name | Lisa Marie Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356697668 PECOS PAC ID: 7012224934 Enrollment ID: I20150909002519 |
| Provider Name | Julie R Jeyaratnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285868323 PECOS PAC ID: 2961671268 Enrollment ID: I20171106003072 |
| Provider Name | Alissa Denae Goodwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003222050 PECOS PAC ID: 7911276118 Enrollment ID: I20200824002150 |
| Provider Name | Dana Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750151742 PECOS PAC ID: 9931545415 Enrollment ID: I20240306003208 |
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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 | |
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Docs Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2510 Airpark Dr, Suite 102, Redding, CA 96001 Phone: 530-243-8667 Fax: 530-243-8742 | |
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