Shasta Eye Surgeons Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

051087 Issued in CA

Legal business name

SHASTA EYE SURGEONS INC

Doing business as

Surgery Center of Northern California

Practice address

950 Butte St
Redding, CA 96001-0827

Phone

(530) 223-2500

Fax

(530) 241-1408

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

George L Neal

Title

Assistant Secretary

Phone

(844) 377-6468

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Surgery Center of Northern California Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Shasta Eye Surgeons IncCCN 05C0001087

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1497740872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010827",
            "telephone_number": "530-223-2500",
            "fax_number": "530-241-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010827",
            "telephone_number": "530-223-2500",
            "fax_number": "530-241-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA EYE SURGEONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "844-377-6468"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "051087",
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "051087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "490004349",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01087H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Northern California",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Center of Northern California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shasta Critical Care Specialists Medical Clinic, Inc.
• Shasta Emergency Medical Associates Inc
• Shasta Emergency Medical Group
• Shasta ENT Specialists
• Shasta Eye Medical Group Inc
• Shasta Hearing AIDS
• Shasta Heart Partners Inc
• Shasta Integrative Health
• Shasta Internal Medicine a Medical Corporation
• Shasta Meadows Wellness Center

• Ambulatory Surgical Clinic/Center in Redding, CA
• Providers in Redding, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.