Organization Active NPI

Ajay Verma M.D. Inc

  • Hematology & Oncology Physician
  • Redding, CA
National Provider Identifier
1275645301
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A434390 Issued in CA
Legal business name
AJAY VERMA M.D. INC
Practice address
1555 East St Ste 230
Redding, CA 96001-1153
Phone
(530) 244-7400
Fax
(530) 244-7800
NPI assigned
Aug 31, 2006
Last updated
Apr 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Mistie M Gregory
Title
Office Manager
Phone
(530) 244-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X A434390 CA Primary

Addresses

Primary practice location

1555 East St Ste 230
Redding, CA 96001-1153

Mailing address

1555 East St Ste 230
Redding, CA 96001-1153
Phone (530) 244-7400

Other identifiers 1

IdentifierTypeStateIssuer
00A434390MedicaidCA

National Provider Directory

National Provider Directory

Locations

1555 East St
Ste 230
Redding, CA 96001
Phone (530) 244-0720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1275645301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 EAST ST STE 230",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011153",
            "telephone_number": "530-244-7400",
            "fax_number": "530-244-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 EAST ST STE 230",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011153",
            "telephone_number": "530-244-7400",
            "fax_number": "530-244-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJAY VERMA M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "MISTIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-244-7400"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A434390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A434390",
            "state": "CA"
        }
    ],
    "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 Apr 21, 2009; 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.