Fredric De Picciotto, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G86846 Issued in CA

Practice address

8639 Basin Hollow Road
Millville, CA 96062-0190

Phone

(530) 547-3631

NPI assigned

Aug 10, 2006

Last updated

Dec 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Emergency Medicine

Education

Albert Einstein College of Medicine of Yeshiva University, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardinal Emergency Providers Professional CorporationGroup PAC ID 3072005354, 28 clinicians

Trinity Emergency PhysiciansGroup PAC ID 4284171166, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
• Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Cardinal Emergency Providers Professional Corporation

  • Emergency Medicine Physician
  • Redding, CA
  • NPI 1356226690
  Medicare reassignment Care Compare group NPD
• Trinity Emergency Physicians

  • Emergency Medicine Physician
  • Redding, CA
  • NPI 1508605635
  Medicare reassignment Care Compare group NPD
• American Specialty Physicians Group Inc

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1568992923
  Medicare reassignment NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment NPD
• Glenn Medical Center, LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Willows, CA
  • NPI 1336187178
  Medicare reassignment NPD
• Mount Eddy Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Mount Shasta, CA
  • NPI 1316299787
  Medicare reassignment NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Red Bluff, CA
  • NPI 1548332307
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD
• Glenn Medical Center, LLC

  dba Glenn Medical Rural Health Clinic

  • Rural Health Clinic/Center
  • Willows, CA
  • NPI 1255632790
  NPD
• Glenn Medical Center, LLC

  dba Family Care Center

  • Rural Health Clinic/Center
  • Willows, CA
  • NPI 1356388961
  NPD
• Trinity County

  dba Trinity County Behavioral Health Services

  • Community/Behavioral Health Agency
  • Weaverville, CA
  • NPI 1245432855
  NPD (past)
• Valley Emergency Physicians Medical Group, Inc

  dba Mercy Mt. Shasta Medical Corporation

  • Emergency Medicine Physician
  • Mount Shasta, CA
  • NPI 1497849574
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  dba Mercy Medical Center Redding

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  Care Compare affiliation
• Prime Healthcare Services - Shasta LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1205089026
  Care Compare affiliation

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1114938842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "MILLVILLE",
            "state": "CA",
            "postal_code": "960620190",
            "telephone_number": "530-547-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8639 BASIN HOLLOW ROAD",
            "city": "MILLVILLE",
            "state": "CA",
            "postal_code": "960620190",
            "telephone_number": "530-547-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE PICCIOTTO",
        "first_name": "FREDRIC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "CA",
            "license": "G86846",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G86846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stevie Gallo
• Laurelie Hillebert, PT
• Norcal Medical Transport LLC
• Alyssa Webb, M.A. CCC-SLP

• Emergency Medicine Physician in Millville, CA
• Providers in Millville, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.