California Family Medical Group Inc
Organization Active NPI Family Medicine Physician · Redding, CA
NPI 1275001075 · NPPES record last updated Mar 9, 2020
Key facts
- NPI
- 1275001075
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CALIFORNIA FAMILY MEDICAL GROUP INC
- Practice address
- 1920 California St Ste a
Redding, CA 96001-1953 - Phone
- (530) 247-7070
- Fax
- (530) 244-7246
- NPI assigned
- Nov 9, 2018
- Organization subpart
- No
Authorized official
- Name
- Andrew Solkovits
- Title
- Ceo
- Phone
- (530) 247-7070
Practitioners 9
-
Rebecca Lewis, FNP
-
Jaclyn Sabanovich, FNP-C
-
Andrew Solkovits, D.O.
-
Brandon Baldwin, PA-CERTIFIED
-
Stefanie Sublett, PA-C
-
Adam Joseph Bierman, FNP
-
Mathew W Stephens, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2113205 | California Family Medical Group | Provider-performed microscopy | May 16, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190415000194 | CA | Part B Supplier - Clinic/Group Practice | 7416298757 |
Receives reassigned benefits from 6 practitioners Practice locations: Redding, CA |
National Provider Directory
Locations
1920 California St
Ste A
Redding, CA 96001
Phone (530) 243-3339
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1920 California St Ste a
Redding, CA 96001-1953
Mailing address
1920 California St Ste a
Redding, CA 96001-1953
Phone (530) 247-7070
Other providers in Redding, CA
- Cali Primary Mobile Care
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- California Emergency Physicians Medical Group a Professional Corp
- California Emergency Physicians Medical Group a Professional Corp
- California Heritage Youthbuild Academy
- California Heritage Youthbuild Academy
- California Sleep Solutions
- California Sleep Solutions
- California Sunenshine Medical Services, PC
All providers in Redding, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.