Individual provider Active NPI

James D. Tate, M.D.

  • Specialist
  • Redding, CA
National Provider Identifier
1497759948
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00G271490 Issued in CA
Practice address
2888 Eureka Way
Ste 200
Redding, CA 96001-0210
Phone
(530) 225-8710
Fax
(530) 225-8720
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00G271490 CA Primary

Addresses

Primary practice location

2888 Eureka Way
Ste 200
Redding, CA 96001-0210

Mailing address

2888 Eureka Way
Ste 200
Redding, CA 96001-0210
Phone (530) 225-8710

Other identifiers 1

IdentifierTypeStateIssuer
00G271490MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000612 CA Practitioner - Neurosurgery 6800816232 Practice locations: Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of California, San Francisco School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2888 Eureka Way
Suite 200
Redding, CA 96001-0210
Phone (530) 225-8710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00G271490CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
James D. Tate, M.D. PastSince Mar 22, 1992 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Patients Hospital of ReddingRedding, CA, CCN 050697 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 22, 1992

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1497759948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 EUREKA WAY",
            "address_2": "STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010210",
            "telephone_number": "530-225-8710",
            "fax_number": "530-225-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 EUREKA WAY",
            "address_2": "STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010210",
            "telephone_number": "530-225-8710",
            "fax_number": "530-225-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JAMES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "00G271490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G271490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.