Organization Active NPI

Raileen Carreon Lagoc, M.D., Inc.

  • Pediatrics Physician
  • Redding, CA
National Provider Identifier
1396888095
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A72405 Issued in CA
Legal business name
RAILEEN CARREON LAGOC, M.D., INC.
Practice address
1832 Buenaventura Blvd
Suite B
Redding, CA 96001-3828
Phone
(530) 244-6534
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Raileen C. Lagoc, M.D.NPI 1356319651
Title
President
Phone
(530) 244-6534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A72405 CA Primary

Addresses

Primary practice location

1832 Buenaventura Blvd
Suite B
Redding, CA 96001-3828

Mailing address

PO Box 496084
Redding, CA 96049-6084
Phone (530) 241-0473

National Provider Directory

National Provider Directory
Tax ID family
Raileen Careon Lagoc MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1832 Buenaventura Blvd
Ste B
Redding, CA 96001
Phone (530) 209-7873

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1396888095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496084",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496084",
            "telephone_number": "530-241-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 BUENAVENTURA BLVD",
            "address_2": "SUITE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013828",
            "telephone_number": "530-244-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAILEEN CARREON LAGOC, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "LAGOC",
        "authorized_official_first_name": "RAILEEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-244-6534",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A72405",
            "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 Jun 17, 2009; 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.