Organization Active NPI

Daniel B Lensink Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Redding, CA
National Provider Identifier
1619411519
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
G599260 Issued in CA
Legal business name
DANIEL B LENSINK MEDICAL CORPORATION
Practice address
2770 Eureka Way
Ste 300
Redding, CA 96001-0252
Phone
(530) 229-7700
Fax
(530) 229-3945
NPI assigned
Dec 12, 2016
Organization subpart
Yes
Parent organization
DANIEL B LENSINK MD MEDICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Daniel B Lensink, MD
Title
President
Phone
(530) 229-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X G599260 CA Primary

Addresses

Primary practice location

2770 Eureka Way
Ste 300
Redding, CA 96001-0252

Mailing address

2770 Eureka Way
Ste 300
Redding, CA 96001-0252
Phone (530) 229-7700

Other names 1

  • Oculofacial Plastic Surgery Center Doing business as

National Provider Directory

National Provider Directory
Part of
Daniel B Lensink MD Medical Corporation

Locations

3798 Janes Rd
Ste 16
Arcata, CA 95521
Phone (707) 822-7222

648 N Main St
Ashland, OR 97520
Phone (503) 482-8100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619411519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 EUREKA WAY",
            "address_2": "STE 300",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010252",
            "telephone_number": "530-229-7700",
            "fax_number": "530-229-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 EUREKA WAY",
            "address_2": "STE 300",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010252",
            "telephone_number": "530-229-7700",
            "fax_number": "530-229-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL B LENSINK MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIEL B LENSINK MD MEDICAL CORPORATION",
        "enumeration_date": "2016-12-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LENSINK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-229-7700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G599260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oculofacial Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.