Kimberly Ann Page, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G64229 Issued in CA

Practice address

1388 Court St
Suite H
Redding, CA 96001-1660

Phone

(530) 246-2207

Fax

(530) 243-6835

NPI assigned

May 23, 2005

Reactivated

Apr 27, 2006

Last updated

Feb 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kpage610705@direct.multicare.org
• Direct secure messaging: neurosurgeryannadel@sjhhandhmg.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimberly a. Page, M.D., Inc.

  dba North Valley Neurosurgery

  • Neurological Surgery Physician
  • Redding, CA
  • NPI 1437375359
  Authorized official Same address or phone
• Apogee Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Redding, CA
  • NPI 1912094509
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1215930250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 COURT ST STE H",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 COURT ST",
            "address_2": "SUITE H",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011660",
            "telephone_number": "530-246-2207",
            "fax_number": "530-243-6835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Doyle Park Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954054562",
            "country_code": "US",
            "telephone_number": "707-523-1873",
            "fax_number": "707-523-0679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "deactivation_date": "2006-03-29",
        "reactivation_date": "2006-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G64229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G642290",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NeurosurgeryAnnadel@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "525 Doyle Park Dr Ste 102",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954054562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pacific Interventional Neurosciences
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Delores Padilla
• Sandy Marie Paez
• Kelly Pagan, RN, BSN, MSN
• Luke David Page, O.D.
• Tyesha Page
• Aravind Pai, M.D.
• Elizabeth Caroline Palaparthi, MD
• Anita Palko, P.T.

• Neurological Surgery Physician in Redding, CA
• Providers in Redding, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.