Individual provider Active NPI

Ornella Addonizio, M.D.

  • Psychiatry Physician
  • Redding, CA
National Provider Identifier
1154401149
Registry record updated Feb 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A54305 Issued in CA
Practice address
2891 Churn Creek Rd.
Suite a
Redding, CA 96002-1148
Phone
(530) 221-7474
Fax
(530) 226-6329
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A54305 CA Primary

Addresses

Primary practice location

2891 Churn Creek Rd.
Suite a
Redding, CA 96002-1148

Mailing address

2891 Churn Creek Rd.
Suite a
Redding, CA 96002-1148
Phone (530) 221-7474

Other identifiers 1

IdentifierTypeStateIssuer
00A543050MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130627000396 CA Practitioner - Psychiatry 8123267911
I20150810002850 TX Practitioner - Psychiatry 8123267911 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54305CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Clinic CurrentSince Jul 1, 2015 Accepting new patients
Rolling Hills Clinic Psychiatry CurrentSince Jul 1, 2015 Accepting new patients

Locations

705 East St
Corning, CA 96021
Phone (530) 690-2818

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

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

Organizations & group practices 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330214400000",
    "number": "1154401149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 CHURN CREEK RD.",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021148",
            "telephone_number": "530-221-7474",
            "fax_number": "530-226-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 CHURN CREEK RD.",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021148",
            "telephone_number": "530-221-7474",
            "fax_number": "530-226-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDONIZIO",
        "first_name": "ORNELLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A54305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A543050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.