Individual provider Active NPI

Calista Mae Vinyard

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1124589197
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A20042 Issued in CA
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

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004000778 CA Practitioner - Family Practice 9830509991 Reassigns benefits to 2 organizations

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
Shasta Community Health CenterGroup PAC ID 3870579816, 63 clinicians

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 Home health agency, Redding, CA, CCN 557107
  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20042CAMDFamily Medicine Physician
1263CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Community Clinic CurrentSince Jul 23, 2023 Accepting new patients
Shasta Community Health Center CurrentSince Feb 1, 2026 Accepting new patients
Hill Country Community Clinic CurrentSince Jul 23, 2023 Accepting new patients
Shasta Community Health Center Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Hill Country Community Clinic PastSince Jun 25, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.