Organization Active NPI

Redding Pathologists

Doing business as Shasta Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Redding, CA
National Provider Identifier
1093712689
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
CLF00011395 Issued in CA
Legal business name
REDDING PATHOLOGISTS
Doing business as
Shasta Pathology Associates
Practice address
2036 Railroad Ave
Redding, CA 96001-1801
Phone
(530) 255-1000
Fax
(530) 247-8259
NPI assigned
Jun 28, 2005
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Tikoes A. Blankenberg, MDNPI 1518022698
Title
Ao
Phone
(530) 255-1020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X CLF00011395 CA Primary
Clinical Medical Laboratory 291U00000X CLF11395 CA

Addresses

Primary practice location

2036 Railroad Ave
Redding, CA 96001-1801

Mailing address

5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (530) 255-1000

Other practice location 1

1725 Gold St
Redding, CA 96001-1820
Phone (530) 255-1000

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ58543ZMedicaidCA

Other names 1

  • Shasta Pathology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000471 CA Part B Supplier - Clinic/Group Practice 6204738511 Receives reassigned benefits from 9 practitioners
Practice locations: Redding, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0934580Shasta Pathology Associates2036 Railroad Avenue, Redding, CA 96001AccreditationFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

1725 Gold St
Redding, CA 96001
Phone (530) 225-8011

1950 Court St
Redding, CA 96001
Phone (530) 241-0778

2036 Railroad Ave
Redding, CA 96001
Phone (530) 225-8050

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1093712689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "530-255-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 RAILROAD AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011801",
            "telephone_number": "530-255-1000",
            "fax_number": "530-247-8259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Gold St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960011820",
            "country_code": "US",
            "telephone_number": "530-255-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REDDING PATHOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "BLANKENBERG",
        "authorized_official_first_name": "TIKOES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "530-255-1020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "CLF00011395",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF11395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ58543Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shasta Pathology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.