Active NPI
William Brian Snider, CP
- Prosthetist
- Redding, CA
National Provider Identifier
1093903569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CP002973
- Practice address
- 1760 Gold Street
Suite 400
Redding, CA 96001-1800 - Phone
- (530) 229-0351
- Fax
- (530) 229-0366
- NPI assigned
- Oct 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | CP002973 | CA | Primary |
| Orthotist | 222Z00000X | CP002973 | CA | |
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | CP002973 | CA | |
| Prosthetist | 224P00000X | |||
| Orthotic Fitter | 225000000X | CP002973 | CA |
Addresses
Primary practice location
1760 Gold Street
Suite 400
Redding, CA 96001-1800
Mailing address
1700 N Chrisman Road
Tracy, CA 95304-9314
Phone (800) 726-9180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP002973 | CA | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Medical, Inc. | Past | Accepting new patients | |
| Pacific Medical, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Prosthetic/Orthotic Supplier
- Redding, CA
- NPI 1811223647
-
- Durable Medical Equipment & Medical Supplies
- Billings, MT
- NPI 1497162911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1093903569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 N CHRISMAN ROAD",
"city": "TRACY",
"state": "CA",
"postal_code": "953049314",
"telephone_number": "800-726-9180",
"fax_number": "800-866-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 GOLD STREET",
"address_2": "SUITE 400",
"city": "REDDING",
"state": "CA",
"postal_code": "960011800",
"telephone_number": "530-229-0351",
"fax_number": "530-229-0366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIDER",
"first_name": "WILLIAM",
"middle_name": "BRIAN",
"credential": "CP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-10",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CA",
"license": "CP002973",
"primary": true
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "CP002973",
"primary": false
},
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "CA",
"license": "CP002973",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "CA",
"license": "CP002973",
"primary": false
}
],
"identifiers": [],
"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 Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.