Individual provider Active NPI

William Brian Snider, CP

  • Prosthetist
  • Redding, CA
National Provider Identifier
1093903569
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
CP002973 Issued in CA
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

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CP002973CAMDRespiratory/Developmental/Rehabilitative Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.