Individual provider Active NPI

Olivia A Mansilla, MD

  • Internal Medicine Physician
  • Redding, CA
National Provider Identifier
1376563189
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101229981 Issued in VA
Practice address
784 Lakeview Dr
Redding, CA 96001-0317
Phone
(804) 301-0225
Fax
(804) 301-0225
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101229981 VA Primary

Addresses

Primary practice location

784 Lakeview Dr
Redding, CA 96001-0317

Mailing address

784 Lakeview Dr
Redding, CA 96001-0317
Phone (804) 301-0225

Other identifiers 1

IdentifierTypeStateIssuer
010021065MedicaidVA

Other names 1

  • Karolin Mansilla Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090217000563 VA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3971668476

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Community Health CenterGroup PAC ID 3870579816, shared by 8 NPIs, 63 clinicians

Practice addresses (Care Compare)

1035 Placer St
Redding, CA 96001-1170
Phone (530) 246-5796

980 Placer St
Redding, CA 96001-1126
Phone (530) 246-5930

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kurt R. Jung, Optometrist & Associates PLLC Past Accepting new patients
Virginia Heart Institute LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: olivia.mansillamd.p1@direct.schc.nextgenshare.com

Organizations & group practices 2

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 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1376563189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 LAKEVIEW DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010317",
            "telephone_number": "804-301-0225",
            "fax_number": "804-301-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 LAKEVIEW DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010317",
            "telephone_number": "804-301-0225",
            "fax_number": "804-301-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSILLA",
        "first_name": "OLIVIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101229981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010021065",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAROLIN",
            "last_name": "MANSILLA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.