Active NPI
Samuel Jonathan Michaels, PA C
- Physician Assistant
- Redding, CA
National Provider Identifier
1609039965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 59887
- Practice address
- 1742 Oregon St
Redding, CA 96001-1717 - Phone
- (530) 722-4942
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 59887 | CA | Primary |
| Physician Assistant | 363A00000X | 5350 | GA |
Addresses
Primary practice location
1742 Oregon St
Redding, CA 96001-1717
Mailing address
1742 Oregon St
Redding, CA 96001-1717
Phone (530) 646-7269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1742 Oregon St
Redding, CA 96001-1717
Phone (530) 646-7269
420 S Main St
Red Bluff, CA 96080-4316
Phone (888) 297-8080
800 W Harris St
Suite 33
Eureka, CA 95503-3929
Phone (707) 296-7660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59887 | CA | MD | Physician Assistant |
| 5350 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Orthopaedic Institute LLC | Past | Accepting new patients |
Interoperability endpoints
- samuel.michaels.1@15156.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Redding, CA
- NPI 1073919171
-
- Health Service Clinic/Center
- Redwood Valley, CA
- NPI 1003826009
-
- Behavior Analyst
- Alturas, CA
- NPI 1396858668
-
- Family Medicine Physician
- Oroville, CA
- NPI 1013933167
-
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
-
- Orthopaedic Surgery Physician
- Columbus, GA
- NPI 1831272582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1609039965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1742 OREGON ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960011717",
"telephone_number": "530-646-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1742 OREGON ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960011717",
"telephone_number": "530-722-4942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELS",
"first_name": "SAMUEL",
"middle_name": "JONATHAN",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "59887",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "5350",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
- Michael G. Cleary, M.D., Inc.
- Michael J Moore DC Chiropractic Professional Corporation
- Michael L. Farley, D.O., a Medical Corporation
- Michael Sumsion MD Dba Riverside Eyecare Professionals
- Margaret G Michael, PA
- Shauna Michaels
- Michelle Meuser and Associates
- Amber Louise Middleton, LCSW
- Gary L Miguel, P.A.
- Dennis J. Mihalka, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.