Individual provider Active NPI

Emily Patterson, DO

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1477048114
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A19437 Issued in CA
Practice address
1201 Industrial St
Redding, CA 96002-0757
Phone
(530) 337-5750
Fax
(530) 337-5754
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 20A19437 CA Primary

Addresses

Primary practice location

1201 Industrial St
Redding, CA 96002-0757

Mailing address

1201 Industrial St
Redding, CA 96002-0757
Phone (530) 337-5750

Other practice location 1

2480 Sonoma St
Redding, CA 96001-3027
Phone (530) 225-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240125003731 CA Practitioner - Family Practice 1850717174 Reassigns benefits to 1 organization
I20260320000742 TX Practitioner - Family Practice 1850717174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 908
Corning, CA 96021

PO Box
Suite 908
Corning, CA 96021-0908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A19437CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Community Clinic CurrentSince Nov 15, 2023 Accepting new patients
Hill Country Community Clinic CurrentSince Nov 15, 2023 Accepting new patients
Hill Country Community Clinic Current Accepting new patients
Hill Country Community Clinic Past Accepting new patients

Locations

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

3270 Churn Creek Rd
Redding, CA 96002
Phone (530) 222-3287

1201 Industrial St
Redding, CA 96002
Phone (530) 229-5000

1401 Gold St
Ste A
Redding, CA 96001
Phone (530) 319-7066

1024 Mistletoe Ln
Ste B
Redding, CA 96002
Phone (530) 232-0845

29632 E Highway 299
Round Mtn, CA 96084
Phone (530) 337-5750

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1477048114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 INDUSTRIAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020757",
            "telephone_number": "530-337-5750",
            "fax_number": "530-337-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 INDUSTRIAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020757",
            "telephone_number": "530-337-5750",
            "fax_number": "530-337-5754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2480 Sonoma St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960013027",
            "country_code": "US",
            "telephone_number": "530-225-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "EMILY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A19437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.