Individual provider Active NPI

Everett D Trevor, MD

  • Pulmonary Disease Physician
  • Redding, CA
National Provider Identifier
1104931179
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G304360 Issued in CA
Practice address
1145 Whiskeytown CT
Redding, CA 96001-0227
Phone
(530) 246-4180
Fax
(530) 242-6421
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G304360 CA Primary

Addresses

Primary practice location

1145 Whiskeytown CT
Redding, CA 96001-0227

Mailing address

1145 Whiskeytown CT
Redding, CA 96001-0227
Phone (530) 246-4180

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
I20031112000591 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5092628255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Colorado School of Medicine, Denver, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jiva Health IncGroup PAC ID 5092115105, 46 clinicians

Practice addresses (Care Compare)

1145 Whiskeytown CT
Suite a
Redding, CA 96001-0227
Phone (925) 685-4224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G304360CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmedica Inc Pulmonary Disease CurrentSince Jan 1, 2010 Accepting new patients
Jiva Health, Inc Pulmonary Disease CurrentSince May 1, 2024 Accepting new patients
Diabetes and Endocrinology Specialists Inc. Past Accepting new patients
Everett Trevor, MD, Inc Pulmonary Disease PastSince Jun 3, 2008 Accepting new patients
Dignity Health Past Accepting new patients

Locations

141 Sand Creek Rd
Ste B
Brentwood, CA 94513
Phone (925) 626-7483

2182 East St
Concord, CA 94520
Phone (925) 392-4731

1620 Pennsylvania Ave
Ste B
Fairfield, CA 94533
Phone (707) 425-2002

995 Montague Expy
Ste 218
Milpitas, CA 95035
Phone (408) 890-7295

411 30th St
Ste 408
Oakland, CA 94609

1145 Whiskeytown Ct
Redding, CA 96001
Phone (530) 242-6821

1145 Whiskeytown Ct
Ste A
Redding, CA 96001
Phone (530) 246-4180

8303 Sierra College Blvd
Ste 109B
Roseville, CA 95661
Phone (916) 337-5502

5201 Norris Canyon Rd
Ste 120
San Ramon, CA 94583
Phone (813) 364-2712

2601 Nut Tree Rd
Ste B
Vacaville, CA 95687
Phone (707) 446-2762

Interoperability endpoints

  • Direct secure messaging: teverett221795@hpmg.direct-ci.net

Organizations & group practices 5

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1104931179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 WHISKEYTOWN CT",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010227",
            "telephone_number": "530-246-4180",
            "fax_number": "530-242-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 WHISKEYTOWN CT",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010227",
            "telephone_number": "530-246-4180",
            "fax_number": "530-242-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVOR",
        "first_name": "EVERETT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G304360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.