Kerry S. Waits, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A8424 Issued in CA

Practice address

2550 Sister Mary Columba Dr
Red Bluff, CA 96080-4327

Phone

(530) 529-8330

Fax

(530) 529-8329

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Inpatient Specialists of California, PC

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1952792475
  Medicare reassignment NPD
• Catholic Healthcare West

  • Institutional Pharmacy
  • Red Bluff, CA
  • NPI 1265472914
  NPD (past)
• Greenville Rancheria

  • Community Health Clinic/Center
  • Red Bluff, CA
  • NPI 1568455053
  NPD (past)
• Community Health Service Agency, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sulphur Springs, TX
  • NPI 1184275711
  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Texarkana, TX
  • NPI 1558314062
  NPD (past)
• Texas Em-I Medical Services PA

  • Emergency Medicine Physician
  • Angleton, TX
  • NPI 1437334414
  NPD (past)
• Texas Em-I Medical Services, PA

  • Internal Medicine Physician
  • Greenville, TX
  • NPI 1699981720
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1265449078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MONTGOMERY RD",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804605",
            "telephone_number": "530-528-8600",
            "fax_number": "530-528-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 SISTER MARY COLUMBA DR",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804327",
            "telephone_number": "530-529-8330",
            "fax_number": "530-529-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITS",
        "first_name": "KERRY",
        "middle_name": "S.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn M Villicana-Ramirez, ACSW
• Huyen Thi-Mong Vu, RPH
• Jill Wabbel
• Gaurav Wahi, DO
• Margie Wahl, DACII
• Kevin A Waits, D.O.
• Melissa Walgamuth, PA-C
• Walgreen Co
• Tami Loraine Wallan
• Walmart Inc.

• Internal Medicine Physician in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.