Individual provider Active NPI

Okkes Kuybu

  • Neurology Physician
  • Redding, CA
National Provider Identifier
1336502707
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A185015 Issued in CA
Practice address
2420 Sonoma Street
Ste B
Redding, CA 96001-2536
Phone
(530) 999-2532
Fax
(530) 999-2533
NPI assigned
Apr 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD472852 PA
Neurology Physician 2084N0400X A185015 CA Primary

Addresses

Primary practice location

2420 Sonoma Street
Ste B
Redding, CA 96001-2536

Mailing address

2420 Sonoma Street
Ste B
Redding, CA 96001-2536
Phone (530) 999-2533

Other practice location 1

2175 Rosaline Avenue
Mercy Medical Center
Redding, CA 96001-2549
Phone (530) 999-2533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230605001441 CA Practitioner - Neurology 1759678311 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians
Pacific Interventional NeurosciencesGroup PAC ID 4981051042, 11 clinicians
Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

2335 E Kashian LN
Fresno, CA 93701-2234

2420 Sonoma St
Suite B
Redding, CA 96001-3033
Phone (530) 999-2533

2480 Sonoma St
Redding, CA 96001-3027
Phone (530) 576-7405

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530

7257 N Fresno St
Fresno, CA 93720-2950
Phone (559) 451-3687

805 W Acequia Ave
Suite 2D
Visalia, CA 93291-6164
Phone (559) 320-0530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A185015CAMDNeurology Physician
MD472852PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince May 25, 2023 Accepting new patients
Dignity Health CurrentSince Aug 1, 2025 Accepting new patients
Dignity Health CurrentSince Aug 1, 2025 Accepting new patients
Pacific Interventional Neurosciences CurrentSince Dec 18, 2023 Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

7257 N Fresno St
Fresno, CA 93720
Phone (559) 447-4050

2151 N Harbor Blvd
Ste 3100
Fullerton, CA 92835
Phone (530) 999-2533

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

2480 Sonoma St
Redding, CA 96001
Phone (530) 225-6090

2420 Sonoma St
Ste B
Redding, CA 96001
Phone (530) 246-4455

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1336502707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 SONOMA STREET",
            "address_2": "STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012536",
            "telephone_number": "530-999-2533",
            "fax_number": "530-999-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 SONOMA STREET",
            "address_2": "STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012536",
            "telephone_number": "530-999-2532",
            "fax_number": "530-999-2533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 Rosaline Avenue",
            "address_2": "Mercy Medical Center",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012549",
            "country_code": "US",
            "telephone_number": "530-999-2533",
            "fax_number": "530-999-2532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUYBU",
        "first_name": "OKKES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD472852",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A185015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.