Individual provider Active NPI

Pedro Henrique De Freitas, FNP

  • Family Nurse Practitioner
  • Palo Cedro, CA
National Provider Identifier
1609369115
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95009186 Issued in CA
Practice address
9461 Deschutes Rd Ste 4
Palo Cedro, CA 96073-9761
Phone
(530) 547-5305
Fax
(563) 547-4110
NPI assigned
Jun 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95009186 CA Primary

Addresses

Primary practice location

9461 Deschutes Rd Ste 4
Palo Cedro, CA 96073-9761

Mailing address

2479 Maywood LN
Redding, CA 96003-7343
Phone (305) 726-5803

Other practice location 1

3082 McMurray Dr
Anderson, CA 96007-3544
Phone (530) 365-4420

Other practice location 2

1310 Churn Creek Rd Ste E5
Redding, CA 96003-4004
Phone (530) 722-9907

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806003418 CA Practitioner - Nurse Practitioner 8527316611 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95009186CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Rancheria Current Accepting new patients
Ampla Health Current Accepting new patients
Gateway Medical Services, Inc. Family Medicine CurrentSince Jun 24, 2018 Accepting new patients
Ampla Health CurrentSince Mar 10, 2025 Accepting new patients
Redding Rancheria CurrentSince May 4, 2024 Accepting new patients
Ampla Health CurrentSince Mar 10, 2025 Accepting new patients

Locations

3082 McMurray Dr
Anderson, CA 96007
Phone (530) 365-4412

1211 Cortina Dr
Orland, CA 95963
Phone (530) 865-5544

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

9461 Deschutes Rd
Ste 4
Palo Cedro, CA 96073
Phone (530) 547-5305

1310 Churn Creek Rd
Ste E5
Redding, CA 96003
Phone (530) 722-9907

1441 Liberty St
Redding, CA 96001
Phone (530) 224-2700

81 Arbuckle Ct
Weaverville, CA 96093
Phone (530) 623-0021

1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pedro.defreitas@ampla.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1609369115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2479 MAYWOOD LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960037343",
            "telephone_number": "305-726-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9461 DESCHUTES RD STE 4",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960739761",
            "telephone_number": "530-547-5305",
            "fax_number": "563-547-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3082 McMurray Dr",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "CA",
            "postal_code": "960073544",
            "country_code": "US",
            "telephone_number": "530-365-4420",
            "fax_number": "530-365-5186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Churn Creek Rd Ste E5",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960034004",
            "country_code": "US",
            "telephone_number": "530-722-9907",
            "fax_number": "530-547-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE FREITAS",
        "first_name": "PEDRO",
        "middle_name": "HENRIQUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95009186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Cedro, CA

Sources for this page

Verify at the official NPI Registry.