Organization Active NPI

Comprehensive Surgical Care of Redding, LLC

  • Ambulatory Surgical Clinic/Center
  • Redding, CA
National Provider Identifier
1255034088
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
COMPREHENSIVE SURGICAL CARE OF REDDING, LLC
Practice address
2439 Sonoma St
Redding, CA 96001-3026
Phone
(480) 591-9345
NPI assigned
Mar 22, 2023
Organization subpart
Yes
Parent organization
REGEN ASC MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Joel Rainwater
Title
President
Phone
(480) 219-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2439 Sonoma St
Redding, CA 96001-3026

Mailing address

2439 Sonoma St
Redding, CA 96001-3026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1255034088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 SONOMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 SONOMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013026",
            "telephone_number": "480-591-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SURGICAL CARE OF REDDING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGEN ASC MANAGEMENT",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "RAINWATER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-219-0123"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 22, 2023; 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.