Individual provider Active NPI

Maria Jose Servioli Verde, M.D

  • Neurology Physician
  • Redding, CA
National Provider Identifier
1205169109
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
C164908 Issued in CA
Practice address
2420 Sonoma St
Redding, CA 96001-3033
Phone
(530) 999-2533
Fax
(530) 999-2532
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 43335 IA
Neurology Physician 2084N0400X C164908 CA Primary

Addresses

Primary practice location

2420 Sonoma St
Redding, CA 96001-3033

Mailing address

2420 Sonoma St Ste B
Redding, CA 96001-3033
Phone (530) 999-2533

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
I20191114001469 CA Practitioner - Neurology 9537466321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Neuromedical Center PCGroup PAC ID 5193135432, 4 clinicians

Practice addresses (Care Compare)

2420 Sonoma St
Suite B
Redding, CA 96001-3033
Phone (530) 999-2407

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.1 of 100Reported as individual
Quality
95
Improvement activities
40
Cost
83.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C164908CAMDNeurology Physician
43335IAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Interventional Neurosciences CurrentSince Jul 1, 2023 Accepting new patients
Catalyst Neuromedical Center PC Neurology CurrentSince Nov 1, 2021 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

2420 Sonoma St
Ste B
Redding, CA 96001
Phone (530) 246-4455

2420 Sonoma St
Redding, CA 96001
Phone (530) 225-8908

3305 Placer St
Ste B
Redding, CA 96001
Phone (530) 225-6805

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22181/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBFCD

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.

Hospital & facility affiliations 10

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1205169109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 SONOMA ST STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013033",
            "telephone_number": "530-999-2533",
            "fax_number": "530-999-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 SONOMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013033",
            "telephone_number": "530-999-2533",
            "fax_number": "530-999-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVIOLI VERDE",
        "first_name": "MARIA",
        "middle_name": "JOSE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "43335",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C164908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.