Organization Active NPI

Martinez Vamc

  • VA Clinic/Center
  • Redding, CA
National Provider Identifier
1033501465
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
MARTINEZ VAMC
Practice address
760 Cypress Ave
Suite 100
Redding, CA 96001-2732
Phone
(702) 341-3020
NPI assigned
Feb 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

760 Cypress Ave
Suite 100
Redding, CA 96001-2732

Mailing address

PO Box 94412
Cleveland, OH 44101-4412
Phone (702) 341-3020

Other names 1

  • CYPRESS AVENUE VA OOS Other name

National Provider Directory

National Provider Directory
Tax ID family
Martinez Vamc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

760 Cypress Ave
Ste 100
Redding, CA 96001
Phone (530) 244-8828

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1033501465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94412",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014412",
            "telephone_number": "702-341-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CYPRESS AVE",
            "address_2": "SUITE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012732",
            "telephone_number": "702-341-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYPRESS AVENUE VA OOS",
            "code": "5",
            "type": "Other 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 Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.