NPIMap

Organization Active NPI

Northern California Surgical Group a Med Corp

  • Surgery Physician
  • Redding, CA
National Provider Identifier
1376631606
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NORTHERN CALIFORNIA SURGICAL GROUP A MED CORP
Practice address
2656 Edith Ave
Suite B
Redding, CA 96001-3030
Phone
(530) 244-2882
Fax
(530) 244-3703
NPI assigned
Oct 11, 2006
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Dr. Donald E Schepps, M.D.
Title
Ceo/President
Phone
(530) 244-2882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

2656 Edith Ave
Suite B
Redding, CA 96001-3030

Mailing address

2656 Edith Ave
Suite B
Redding, CA 96001-3030
Phone (530) 244-2882

Other identifiers 1

IdentifierTypeStateIssuer
GR0043580MedicaidCA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1693/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1376631606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 EDITH AVE",
            "address_2": "SUITE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013030",
            "telephone_number": "530-244-2882",
            "fax_number": "530-244-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 EDITH AVE",
            "address_2": "SUITE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013030",
            "telephone_number": "530-244-2882",
            "fax_number": "530-244-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CALIFORNIA SURGICAL GROUP A MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "SCHEPPS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "530-244-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0043580",
            "state": "CA"
        }
    ],
    "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 Oct 23, 2012; 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.