Active NPI
Vanessa Lindo, PA-C
- Physician Assistant
- Redding, CA
National Provider Identifier
1003377433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA66269
- Practice address
- 415 Knollcrest Dr Ste 101
Redding, CA 96002-0181 - Phone
- (530) 392-4399
- Fax
- (530) 903-4226
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA66269 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 9383 | GA |
Addresses
Primary practice location
415 Knollcrest Dr Ste 101
Redding, CA 96002-0181
Mailing address
2171 Ferentz Trce
Norcross, GA 30071-3757
Phone (770) 865-3682
Other names 1
- Vanessa Lindo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211130000379 | GA | Practitioner - Physician Assistant | 8224428685 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9383 | GA | MD | General Practice Dentistry |
| PA66269 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Medical Center LLC | Single Specialty | Current | Accepting new patients |
| Community Medical Specialists Inc | Single Specialty | Past | Accepting new patients |
| Community Medical Specialists Inc | Single Specialty | Past | Accepting new patients |
Locations
3455 Peachtree Industrial Blvd
Ste 910
Duluth, GA 30096
Phone (678) 584-5000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1003377433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2171 FERENTZ TRCE",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300713757",
"telephone_number": "770-865-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 KNOLLCREST DR STE 101",
"city": "REDDING",
"state": "CA",
"postal_code": "960020181",
"telephone_number": "530-392-4399",
"fax_number": "530-903-4226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDO",
"first_name": "VANESSA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA66269",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "9383",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "LINDO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.