Active NPI
Redding Pathologists
Doing business as Shasta Pathology Associates
- Anatomic Pathology & Clinical Pathology Physician
- Redding, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- CLF00011395
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tikoes A. Blankenberg, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ58543Z | Medicaid | CA |
Other names 1
- Shasta Pathology Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0934580 | Shasta Pathology Associates | Accreditation | Feb 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
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 MAPD
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.
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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
- Redding Medical Supply Inc (Wheelchair Place)
- Redding Midwifery Group
- Redding Midwifery Group
- Redding Occupational Medical Center, Inc.
- Redding Pain Medicine (The Pain Solution Center)
- Redding Pediatrics, Inc
- Redding Physical Therapy, L.P.
- Redding Portable Xray
- Redding Primary Care Medical Group, Inc (Hilltop Medical Clinic)
- Redding Primary Care Medical Group, Inc (Hilltop Medical Clinic West)
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.