Individual provider Active NPI

Anna Smith

  • Physician Assistant
  • Redding, CA
National Provider Identifier
1144035536
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65924 Issued in CA
Practice address
415 Knollcrest Dr Ste 101
Redding, CA 96002-0181
Phone
(053) 039-2439
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA65924 CA Primary

Addresses

Primary practice location

415 Knollcrest Dr Ste 101
Redding, CA 96002-0181

Mailing address

415 Knollcrest Dr Ste 101
Redding, CA 96002-0181
Phone (053) 039-2439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702000194 TX Practitioner - Physician Assistant 1759894777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65924CAMDClinical Social Worker
PA65924CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Clinic CurrentSince May 27, 2025 Accepting new patients
Community Medical Specialists Inc CurrentSince Feb 23, 2025 Accepting new patients
Community Medical Specialists Inc PastSince May 1, 2024 Accepting new patients

Locations

740 Solano St
Corning, CA 96021
Phone (530) 690-2827

2540 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 528-8899

415 Knollcrest Dr
Ste 101
Redding, CA 96002
Phone (530) 255-7507

Organizations & group practices 3

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1144035536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 KNOLLCREST DR STE 101",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020181",
            "telephone_number": "053-039-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 KNOLLCREST DR STE 101",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020181",
            "telephone_number": "053-039-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.