Active NPI
Deborah Ann Sutcliffe, M.D.
- Family Medicine Physician
- Red Bluff, CA
National Provider Identifier
1306812128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G72274
- Practice address
- 2526 Sister Mary Columba Dr
Red Bluff, CA 96080 - Phone
- (530) 529-4190
- Fax
- (530) 529-4094
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G72274 | CA | Primary |
Addresses
Primary practice location
2526 Sister Mary Columba Dr
Red Bluff, CA 96080
Mailing address
345 Hickory St
Red Bluff, CA 96080-2771
Phone (530) 529-4190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72274 | CA | MD | Social Worker |
| G72274 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1306812128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 HICKORY ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960802771",
"telephone_number": "530-529-4190",
"fax_number": "530-529-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2526 SISTER MARY COLUMBA DR",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "96080",
"telephone_number": "530-529-4190",
"fax_number": "530-529-4094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTCLIFFE",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G72274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.