Organization Active NPI

Gisela C. Okonski, M.D., Inc.

  • Cardiovascular Disease Physician
  • Redding, CA
National Provider Identifier
1265574826
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A46125 Issued in CA
Legal business name
GISELA C. OKONSKI, M.D., INC.
Practice address
2626 Edith Ave
Suite C
Redding, CA 96001-3056
Phone
(530) 247-0404
Fax
(530) 247-0472
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Gisela C. Okonski, M.D.NPI 1518926559
Title
President
Phone
(530) 247-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A46125 CA Primary

Addresses

Primary practice location

2626 Edith Ave
Suite C
Redding, CA 96001-3056

Mailing address

2632 Edith Ave Ste a
Redding, CA 96001-3031
Phone (530) 247-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051006000951 CA Part B Supplier - Clinic/Group Practice 6305861535 Receives reassigned benefits from 1 practitioner
Practice locations: Redding, CA

National Provider Directory

National Provider Directory

Locations

2632 Edith Ave
Ste A
Redding, CA 96001
Phone (530) 247-0404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1265574826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 EDITH AVE STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013031",
            "telephone_number": "530-247-0404",
            "fax_number": "530-247-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 EDITH AVE",
            "address_2": "SUITE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013056",
            "telephone_number": "530-247-0404",
            "fax_number": "530-247-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GISELA C. OKONSKI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "OKONSKI",
        "authorized_official_first_name": "GISELA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-247-0404",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A46125",
            "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 Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.