Organization Active NPI

Lee E. Vranna, M.D., Inc.

  • Rehabilitation Practitioner
  • Redding, CA
National Provider Identifier
1174792741
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
G58584 Issued in CA
Legal business name
LEE E. VRANNA, M.D., INC.
Practice address
1135 Whiskeytown CT
Redding, CA 96001-0227
Phone
(530) 245-0965
Fax
(530) 245-0539
NPI assigned
Feb 27, 2008
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Lee Eugene Vranna, M.D.
Title
President
Phone
(530) 245-0965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X G58584 CA Primary

Addresses

Primary practice location

1135 Whiskeytown CT
Redding, CA 96001-0227

Mailing address

1135 Whiskeytown CT
Redding, CA 96001-0227
Phone (530) 245-0965

Other identifiers 1

IdentifierTypeStateIssuer
00G585840MedicaidCA

National Provider Directory

National Provider Directory

Locations

1135 Whiskeytown Ct
Redding, CA 96001
Phone (530) 245-0965

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1174792741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 WHISKEYTOWN CT",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010227",
            "telephone_number": "530-245-0965",
            "fax_number": "530-245-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 WHISKEYTOWN CT",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010227",
            "telephone_number": "530-245-0965",
            "fax_number": "530-245-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE E. VRANNA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "VRANNA",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-245-0965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "G58584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G585840",
            "state": "CA"
        }
    ],
    "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 Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.