NPIMap

Organization Active NPI

Redding Primary Care Medical Group, Inc

Doing business as Hilltop Medical Clinic

  • Urgent Care Clinic/Center
  • Redding, CA
National Provider Identifier
1316966302
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
REDDING PRIMARY CARE MEDICAL GROUP, INC
Doing business as
Hilltop Medical Clinic
Practice address
1093 Hilltop Drive
Redding, CA 96003-3811
Phone
(530) 221-1565
Fax
(530) 221-3912
NPI assigned
Jul 19, 2006
Organization subpart
Yes
Parent organization
REDDING PRIMARY CARE MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Linda Yvonne Fullerton
Title
Co-Administrator
Phone
(530) 221-1565

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G63898 CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G70179 CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A86612 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G42236 CA
Urgent Care Clinic/Center 261QU0200X BUSS LIC #9113 CA
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1093 Hilltop Drive
Redding, CA 96003-3811

Mailing address

1093 Hilltop Drive
Redding, CA 96003-3811
Phone (530) 221-1565

Other identifiers 1

IdentifierTypeStateIssuer
05D0618250OtherCACLIA #

Other names 1

  • HILLTOP MEDICAL CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040604000413 CA Part B Supplier - Clinic/Group Practice 0042292815 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Redding, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1316966302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 HILLTOP DRIVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033811",
            "telephone_number": "530-221-1565",
            "fax_number": "530-221-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 HILLTOP DRIVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033811",
            "telephone_number": "530-221-1565",
            "fax_number": "530-221-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDING PRIMARY CARE MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDDING PRIMARY CARE MEDICAL GROUP, INC.",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "FULLERTON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CO-ADMINISTRATOR",
        "authorized_official_telephone_number": "530-221-1565"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G63898",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G70179",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A86612",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G42236",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "BUSS LIC #9113",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "05D0618250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILLTOP MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 5, 2012; 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.