Organization Active NPI

Kimberly a. Page, M.D., Inc.

  • Neurological Surgery Physician
  • Redding, CA
National Provider Identifier
1437375359
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
KIMBERLY A. PAGE, M.D., INC.
Practice address
1388 Court Street
Suite H
Redding, CA 96001-1650
Phone
(530) 246-2207
Fax
(530) 243-6835
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Kimberly A Page, MD
Title
MD/Owner
Phone
(530) 246-2207

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X G64229 CA
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X CA Primary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X PA18032 CA

Addresses

Primary practice location

1388 Court Street
Suite H
Redding, CA 96001-1650

Mailing address

1388 Court Street
Suite H
Redding, CA 96001-1650
Phone (530) 246-2207

Other identifiers 3

IdentifierTypeStateIssuer
00G642290MedicaidCA
1215930250OtherCAKP NPI
1215007661OtherCAAB'S NPI

Other names 1

  • North Valley Neurosurgery Doing business as

National Provider Directory

National Provider Directory

Locations

2420 Sonoma St
Ste A
Redding, CA 96001
Phone (530) 246-2207

1388 Court St
Ste H
Redding, CA 96001
Phone (530) 246-2207

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1437375359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388 COURT STREET",
            "address_2": "SUITE H",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011650",
            "telephone_number": "530-246-2207",
            "fax_number": "530-243-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 COURT STREET",
            "address_2": "SUITE H",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011650",
            "telephone_number": "530-246-2207",
            "fax_number": "530-243-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY A. PAGE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "530-246-2207",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G64229",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G642290",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KP NPI",
            "identifier": "1215930250",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AB'S NPI",
            "identifier": "1215007661",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Valley Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 17, 2015; 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.