Individual provider Active NPI

Gina Renee Palady, L.AC.

  • Acupuncturist
  • Mount Shasta, CA
National Provider Identifier
1548892763
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC7394 Issued in CA
Practice address
407 S Mount Shasta Blvd
Mount Shasta, CA 96067-2559
Phone
(530) 206-3424
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC7394 CA Primary

Addresses

Primary practice location

407 S Mount Shasta Blvd
Mount Shasta, CA 96067-2559

Mailing address

404 N Mount Shasta Blvd # 350
Mount Shasta, CA 96067-2232
Phone (530) 206-3424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC7394CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Gina Renee Palady Acupuncturist CurrentSince Feb 16, 2020 Accepting new patients

Locations

404 N Mount Shasta Blvd
Mount Shasta, CA 96067
Phone (530) 918-8545

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": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1548892763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N MOUNT SHASTA BLVD # 350",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672232",
            "telephone_number": "530-206-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S MOUNT SHASTA BLVD",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672559",
            "telephone_number": "530-206-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALADY",
        "first_name": "GINA RENEE",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC7394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Shasta, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.