Organization Active NPI

Timothy Rupp MD PC

  • Adult Medicine Physician
  • Redding, CA
National Provider Identifier
1316646359
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
TIMOTHY RUPP MD PC
Practice address
1267 Willis St Ste 200
Redding, CA 96001-0400
Phone
(760) 534-8193
NPI assigned
Feb 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Jana Spedaliere, NP-C
Title
Lead Nurse Practitioner
Phone
(760) 534-8193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

1267 Willis St Ste 200
Redding, CA 96001-0400

Mailing address

1267 Willis St Ste 200
Redding, CA 96001-0400
Phone (760) 534-8193

Other identifiers 1

IdentifierTypeStateIssuer
123456789OtherCANEW PRACTICE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1316646359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 WILLIS ST STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010400",
            "telephone_number": "760-534-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 WILLIS ST STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010400",
            "telephone_number": "760-534-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY RUPP MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "SPEDALIERE",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "LEAD NURSE PRACTITIONER",
        "authorized_official_telephone_number": "760-534-8193",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW PRACTICE",
            "identifier": "123456789",
            "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 Feb 28, 2023; 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.