Redwood Focused Care Clinics

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REDWOOD FOCUSED CARE CLINICS

Practice address

286 M St Ste B
Crescent City, CA 95531-4115

Phone

(707) 460-1919

NPI assigned

Jan 16, 2020

Organization subpart

No

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

Authorized official

Name

Wahidullah Wahidullah, MD

Title

Owner

Phone

(707) 460-1919

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christianne J Lucero, PA-C

  • Physician Assistant
  • Eureka, CA
  • NPI 1356779656
  NPD

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1366072571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 M ST STE B",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314115",
            "telephone_number": "707-460-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 M ST STE B",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314115",
            "telephone_number": "707-460-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD FOCUSED CARE CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "WAHIDULLAH",
        "authorized_official_first_name": "WAHIDULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-460-1919",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Rasmussen, RN
• Jill Susanne Ratliff
• Masoumeh Zinat Razavi, PHD
• Redwood Behavioral Alliance Inc
• Redwood Coast Hearing Center, Inc.
• Redwood Psychological, Inc
• Azalia Reeve, AA
• Warren James Rehwaldt, MD
• Remi Vista Services for Probation Youth
• Remi Vista, Inc.

• Internal Medicine Physician in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.