Shasta Heart Partners Inc

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

SHASTA HEART PARTNERS INC

Practice address

1100 Butte St
Redding, CA 96001-0852

Phone

(530) 230-8462

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Mr. David J Hillebert, PA-CNPI 1336329499

Title

President

Phone

(530) 230-8462

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Jonathan Hillebert, PA-C

  • Surgical Physician Assistant
  • Redding, CA
  • NPI 1336329499
  Medicare reassignment Authorized official
• Laurelie Hillebert, PT

  • Physical Therapist
  • Millville, CA
  • NPI 1942830146
  NPD

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678579200000",
    "number": "1053017178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 SUNNYWOOD DR",
            "city": "MILLVILLE",
            "state": "CA",
            "postal_code": "960629505",
            "telephone_number": "530-230-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010852",
            "telephone_number": "530-230-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA HEART PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A",
        "authorized_official_last_name": "HILLEBERT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-230-8462",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shasta Emergency Medical Group
• Shasta ENT Specialists
• Shasta Eye Medical Group Inc
• Shasta Eye Surgeons Inc
• Shasta Hearing AIDS
• Shasta Integrative Health
• Shasta Internal Medicine a Medical Corporation
• Shasta Meadows Wellness Center
• Shasta Meadows Wellness Center
• Shasta Medical Associates Inc.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Redding, CA
• Providers in Redding, CA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.