Individual provider Active NPI

Paul William Bailey, ENP-C/FNP-C

  • Family Nurse Practitioner
  • Redding, CA
National Provider Identifier
1467130435
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032265 Issued in CA
Practice address
1310 Churn Creek Rd Ste E5
Redding, CA 96003-4004
Phone
(530) 722-9907
NPI assigned
Jul 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 95157950 CA
Family Nurse Practitioner 363LF0000X 95032265 CA Primary

Addresses

Primary practice location

1310 Churn Creek Rd Ste E5
Redding, CA 96003-4004

Mailing address

1100 Butte St
Redding, CA 96001-0852
Phone (530) 244-5353

Other practice location 1

1100 Butte St
Redding, CA 96001-0852
Phone (530) 244-5353

Other practice location 2

525 W Acacia St
Stockton, CA 95203-2484
Phone (209) 944-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030002616 CA Practitioner - Nurse Practitioner 1254864119 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardinal Emergency Providers Professional CorporationGroup PAC ID 3072005354, 28 clinicians
Gateway Medical Services IncGroup PAC ID 3678886231, 10 clinicians
Trinity Emergency PhysiciansGroup PAC ID 4284171166, 47 clinicians

Practice addresses (Care Compare)

1100 Butte St
Redding, CA 96001-0852
Phone (530) 244-5400

1310 Churn Creek Rd
Suite E5
Redding, CA 96003-4004
Phone (530) 722-9907

525 W Acacia St
Stockton, CA 95203-2405
Phone (530) 244-5400

Hospital & facility affiliations

  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
  • Dameron Hospital Hospital, Stockton, CA, CCN 050122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95157950CAMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Emergency Physicians CurrentSince Aug 23, 2024 Accepting new patients
Gateway Medical Services, Inc. CurrentSince Apr 5, 2026 Accepting new patients
Cardinal Emergency Providers Professional Corporation CurrentSince Nov 1, 2025 Accepting new patients

Locations

1310 Churn Creek Rd
Ste E5
Redding, CA 96003
Phone (530) 722-9907

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

Organizations & group practices 3

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1467130435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010852",
            "telephone_number": "530-244-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CHURN CREEK RD STE E5",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034004",
            "telephone_number": "530-722-9907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Butte St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010852",
            "country_code": "US",
            "telephone_number": "530-244-5353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 W Acacia St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952032484",
            "country_code": "US",
            "telephone_number": "209-944-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "credential": "ENP-C/FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "95157950",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.