Organization Active NPI

Redding Cancer Treatment Center

  • Radiation Oncology Physician
  • Redding, CA
National Provider Identifier
1043219181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
NONE-GROUP Issued in CA
Legal business name
REDDING CANCER TREATMENT CENTER
Practice address
963 Butte St
Redding, CA 96001-0828
Phone
(530) 245-5900
Fax
(530) 245-5909
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vidya S. Bobba, M.D.
Title
Owner/Physician
Phone
(530) 245-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X NONE-GROUP CA Primary

Addresses

Primary practice location

963 Butte St
Redding, CA 96001-0828

Mailing address

PO Box 994032
Redding, CA 96099-4032
Phone (530) 241-0473

Other identifiers 1

IdentifierTypeStateIssuer
GR0087030MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043219181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994032",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960994032",
            "telephone_number": "530-241-0473",
            "fax_number": "530-241-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010828",
            "telephone_number": "530-245-5900",
            "fax_number": "530-245-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDING CANCER TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOBBA",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "530-245-5900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "NONE-GROUP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0087030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.