Individual provider Active NPI

Paul Trygve Stratte, MD

  • Urology Physician
  • Redding, CA
National Provider Identifier
1093880619
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G75419 Issued in CA
Practice address
2624 Edith Ave
Redding, CA 96001-3043
Phone
(530) 241-3316
Fax
(530) 241-6319
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G75419 CA Primary

Addresses

Primary practice location

2624 Edith Ave
Redding, CA 96001-3043

Mailing address

2624 Edith Ave
Redding, CA 96001-3043
Phone (530) 241-3316

Other identifiers 4

IdentifierTypeStateIssuer
CP5241OtherCARAILROAD MEDICARE GROUP
ZZZ78528ZMedicaidCA
34007857OtherCARAILROAD MEDICARE
00G754190MedicaidCA

Other names 1

  • P Tryg Stratte Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000762 CA Practitioner - Urology 5890865216 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G75419CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Urologic Associates, a Medical Corp Urology CurrentSince Jan 1, 2008 Accepting new patients

Locations

2626 Edith Ave
Ste C
Redding, CA 96001
Phone (530) 241-3316

2624 Edith Ave
Redding, CA 96001
Phone (530) 241-3316

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1093880619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 EDITH AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013043",
            "telephone_number": "530-241-3316",
            "fax_number": "530-241-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 EDITH AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013043",
            "telephone_number": "530-241-3316",
            "fax_number": "530-241-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTE",
        "first_name": "PAUL",
        "middle_name": "TRYGVE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G75419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CP5241",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ78528Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "34007857",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G754190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "P",
            "last_name": "STRATTE",
            "middle_name": "TRYG",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.