Active NPI
Obstetrics and Gynecology Medical Associates of Redding, Inc.
- Obstetrics & Gynecology Physician
- Redding, CA
National Provider Identifier
1619053899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- OBSTETRICS AND GYNECOLOGY MEDICAL ASSOCIATES OF REDDING, INC.
- Practice address
- 2650 Edith Ave
Redding, CA 96001-3043 - Phone
- (530) 244-2130
- Fax
- (530) 244-8071
- NPI assigned
- Oct 31, 2006
- Last updated
- Aug 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley L Pogodzinski
- Title
- Manager
- Phone
- (530) 244-2130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
2650 Edith Ave
Redding, CA 96001-3043
Mailing address
2626 Edith Avenue
Suite B
Redding, CA 96001
Phone (530) 244-2130
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A325060 | Medicaid | CA | |
| 00A432370 | Medicaid | CA | |
| 00G399660 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2135 Airpark Dr
Redding, CA 96001
Phone (530) 241-5270
2626 Edith Ave
Ste B
Redding, CA 96001
Phone (530) 244-2130
2650 Edith Ave
Redding, CA 96001
Phone (530) 242-2177
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Obstetrics & Gynecology Physician
- Redding, CA
- NPI 1073533311
-
- Specialist
- Redding, CA
- NPI 1912021221
-
- Specialist
- Redding, CA
- NPI 1265556583
-
- Obstetrics & Gynecology Physician
- Redding, CA
- NPI 1285193714
-
- Specialist
- Redding, CA
- NPI 1538157615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1619053899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 EDITH AVENUE",
"address_2": "SUITE B",
"city": "REDDING",
"state": "CA",
"postal_code": "96001",
"telephone_number": "530-244-2130",
"fax_number": "530-244-8071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 EDITH AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960013043",
"telephone_number": "530-244-2130",
"fax_number": "530-244-8071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBSTETRICS AND GYNECOLOGY MEDICAL ASSOCIATES OF REDDING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "POGODZINSKI",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "530-244-2130"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A325060",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A432370",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G399660",
"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 Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.