Active NPI
Calista Mae Vinyard
- Family Medicine Physician
- Redding, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A20042
- Practice address
- 1401 Gold St
Redding, CA 96001-1958 - Phone
- (408) 512-7285
- NPI assigned
- Mar 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A20042 | CA | Primary |
Addresses
Primary practice location
1401 Gold St
Redding, CA 96001-1958
Mailing address
280 Ironwood LN
Redding, CA 96003-5345
Phone (408) 512-7285
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- College of Osteo Med of the Pacific at Pomona, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 Placer St
Redding, CA 96001-1170
Phone (530) 246-5796
1201 Industrial St
Redding, CA 96002-0757
Phone (530) 229-5000
2965 E St
Anderson, CA 96007-3481
Phone (530) 378-0486
Hospital & facility affiliations
- Medical Home Care Professionals
- Mercy Medical Center Redding
- Shasta Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A20042 | CA | MD | Family Medicine Physician |
| 1263 | CA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Country Community Clinic | Current | Accepting new patients | |
| Shasta Community Health Center | Current | Accepting new patients | |
| Hill Country Community Clinic | Current | Accepting new patients | |
| Shasta Community Health Center | Family Medicine | Current | Accepting new patients |
| Hill Country Community Clinic | Past | Accepting new patients |
Locations
1035 Placer St
Redding, CA 96001
1401 Gold St
Ste A
Redding, CA 96001
Phone (530) 319-7066
1401 Gold St
Redding, CA 96001
Phone (530) 238-7133
29632 E Highway 299
Round Mtn, CA 96084
Phone (530) 337-5750
4215 Front St
Shasta Lake, CA 96019
Phone (530) 246-5896
Interoperability endpoints
- calista.vinyarddo.p1@direct.schc.nextgenshare.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1114533171
-
- Federally Qualified Health Center (FQHC)
- Round Mountain, CA
- NPI 1407914260
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1568338218
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1356815542
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1669004123
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1457844318
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- Home Health Agency
- Redding, CA
- NPI 1982607065
-
- General Acute Care Hospital
- Redding, CA
- NPI 1205089026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1124589197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 IRONWOOD LN",
"city": "REDDING",
"state": "CA",
"postal_code": "960035345",
"telephone_number": "408-512-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 GOLD ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960011958",
"telephone_number": "408-512-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINYARD",
"first_name": "CALISTA",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-30",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A20042",
"primary": true
}
],
"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 Jun 19, 2023; 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.