NPIMap

Individual provider Active NPI

Prathibha Chandrasekaran, M.D.

  • Gastroenterology Physician
  • Redding, CA
National Provider Identifier
1114985819
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C55292 Issued in CA
Practice address
1825 Sonoma St
Redding, CA 96001-2519
Phone
(530) 243-8667
Fax
(530) 243-8742
NPI assigned
May 2, 2006
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X C55292 CA Primary

Addresses

Primary practice location

1825 Sonoma St
Redding, CA 96001-2519

Mailing address

1825 Sonoma St
Redding, CA 96001-2519
Phone (530) 243-8667

Other identifiers 5

IdentifierTypeStateIssuer
2K1650OtherNJHEALTHNET
8607001MedicaidNJ
P2522732OtherNJOXFORD
P00019213OtherNJRAILROAD MEDICARE
4549259OtherNJAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121113000183 CA Practitioner - Gastroenterology 7719880798 Reassigns benefits to 3 organizations
Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shasta Community Health CenterGroup PAC ID 3870579816, shared by 8 NPIs, 63 clinicians

Practice addresses (Care Compare)

1035 Placer St
Redding, CA 96001-1170
Phone (530) 246-5796

1100 Butte St
Redding, CA 96001-0852
Phone (530) 605-4260

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy305
Upper gastrointestinal (GI) endoscopy for acid reflux422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C55292CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Hawkins Memorial Hospital CurrentSince Jan 1, 2023 Accepting new patients
Hazel Hawkins Memorial Hospital CurrentSince Jan 1, 2023 Accepting new patients
Shasta Regional Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Shasta Regional Medical Group, Inc CurrentSince Aug 1, 2025 Accepting new patients
Orna Gil MD Inc Current Accepting new patients
Enloe Medical Center Gastroenterology CurrentSince Jul 23, 2024 Accepting new patients
Enloe Medical Center CurrentSince Jul 23, 2024 Accepting new patients
Los Palos Gastroenterology Specialists Inc Gastroenterology PastSince Jan 1, 2016 Accepting new patients
Primecare Medical Group PA Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

111 Raley Blvd
Ste 100
Chico, CA 95928
Phone (530) 332-3986

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

930 Sunset Dr
Ste C1
Hollister, CA 95023
Phone (831) 638-0200

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA
  • Direct secure messaging: pchandrasekaran235032@santaclaravalley.direct-ci.net
  • Direct secure messaging: prathibha.chandrasekaranmd.p1@direct.schc.nextgenshare.com

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1114985819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SONOMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012519",
            "telephone_number": "530-243-8667",
            "fax_number": "530-243-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SONOMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012519",
            "telephone_number": "530-243-8667",
            "fax_number": "530-243-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASEKARAN",
        "first_name": "PRATHIBHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C55292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K1650",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8607001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2522732",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00019213",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4549259",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.