Organization Active NPI

Seely Medical Corporation

  • Clinic/Center
  • Redding, CA
National Provider Identifier
1497783096
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G83413 Issued in CA
Legal business name
SEELY MEDICAL CORPORATION
Practice address
2175 Rosaline Ave
Medical Staff Office
Redding, CA 96049-6009
Phone
(530) 515-1699
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Teri A Boster, M.D.NPI 1720143530
Title
Chief Financial Officer
Phone
(530) 515-1699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G83413 CA Primary

Addresses

Primary practice location

2175 Rosaline Ave
Medical Staff Office
Redding, CA 96049-6009

Mailing address

PO Box 1280
Palo Cedro, CA 96073-1280
Phone (530) 515-1699

National Provider Directory

National Provider Directory

Locations

645 Antelope Blvd
Ste 24
Red Bluff, CA 96080
Phone (530) 528-7650

2175 Rosaline Ave
Ofc
Redding, CA 96001
Phone (530) 225-6127

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": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1497783096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960731280",
            "telephone_number": "530-515-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 ROSALINE AVE",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496009",
            "telephone_number": "530-515-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEELY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "BOSTER",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "530-515-1699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G83413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 13, 2007; 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.