Organization Active NPI

Redding Portable Xray

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Redding, CA
National Provider Identifier
1497936777
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
RHF18701 Issued in CA
Legal business name
REDDING PORTABLE XRAY
Practice address
2468 Birchwood Cir
Redding, CA 96002-3748
Phone
(530) 221-8731
Fax
(530) 221-8731
NPI assigned
Nov 15, 2007
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Mr. Gordon Wendell Jones, ARRT, CRT, RT, AANPI 1437215464
Title
Owner/Operator
Phone
(530) 221-8731

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
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X RHF18701 CA Primary

Addresses

Primary practice location

2468 Birchwood Cir
Redding, CA 96002-3748

Mailing address

PO Box 492615
Redding, CA 96049-2615
Phone (530) 221-8731

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ59907ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

3062 Churn Creek Rd
Redding, CA 96002
Phone (530) 221-0976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1497936777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492615",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960492615",
            "telephone_number": "530-221-8731",
            "fax_number": "530-221-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2468 BIRCHWOOD CIR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960023748",
            "telephone_number": "530-221-8731",
            "fax_number": "530-221-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDING PORTABLE XRAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "WENDELL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "530-221-8731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARRT, CRT, RT, AA"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "CA",
            "license": "RHF18701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ59907Z",
            "state": "CA"
        }
    ],
    "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 May 15, 2008; 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.