Active NPI
Ross Goodrich, P.A.
- Medical Physician Assistant
- Redding, CA
National Provider Identifier
1356483119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA13004
- Practice address
- 1441 Liberty St
Redding, CA 96001-0848 - Phone
- (530) 226-1721
- Fax
- (530) 224-2742
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA13004 | CA | Primary |
Addresses
Primary practice location
1441 Liberty St
Redding, CA 96001-0848
Mailing address
1441 Liberty St
Redding, CA 96001-0848
Phone (530) 226-1721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA13004 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1356483119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 LIBERTY ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960010848",
"telephone_number": "530-226-1721",
"fax_number": "530-224-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 LIBERTY ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960010848",
"telephone_number": "530-226-1721",
"fax_number": "530-224-2742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRICH",
"first_name": "ROSS",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA13004",
"primary": true
}
],
"identifiers": [],
"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 Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.