Individual provider Active NPI

David A Short, M.D.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1588694178
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G42413 Issued in CA
Practice address
2510 Airpark Dr
Suite 201
Redding, CA 96001-2449
Phone
(530) 244-4034
Fax
(530) 244-1821
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G42413 CA Primary

Addresses

Primary practice location

2510 Airpark Dr
Suite 201
Redding, CA 96001-2449

Mailing address

2510 Airpark Dr
Suite 201
Redding, CA 96001-2449
Phone (530) 244-4034

Other identifiers 1

IdentifierTypeStateIssuer
00G424130MedicaidCA

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
I20080724000568 CA Practitioner - Family Practice 4688678584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42413CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Family Medical Group Inc Family Medicine CurrentSince Jan 1, 1980 Accepting new patients
Dignity Health Past Accepting new patients

Locations

2510 Airpark Dr
Ste 201
Redding, CA 96001
Phone (530) 244-4034

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
Hill Country Health and Wellness CenterRound Mountain, CA, CCN 551842 Federally qualified health center Corporate Director Mar 1, 2026

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 2

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1588694178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR",
            "address_2": "SUITE 201",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012449",
            "telephone_number": "530-244-4034",
            "fax_number": "530-244-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR",
            "address_2": "SUITE 201",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012449",
            "telephone_number": "530-244-4034",
            "fax_number": "530-244-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G42413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G424130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.