Individual provider Active NPI

Cynthia Reynolds Dillon, M.D.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1619977527
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G79019 Issued in CA
Practice address
1355 East St
Suite 110
Redding, CA 96001-0801
Phone
(530) 229-7891
Fax
(530) 229-7821
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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 G79019 CA Primary

Addresses

Primary practice location

1355 East St
Suite 110
Redding, CA 96001-0801

Mailing address

PO Box 496084
Redding, CA 96049-6084
Phone (530) 229-7891

Other identifiers 1

IdentifierTypeStateIssuer
00G790190MedicaidCA

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
I20080416000344 CA Practitioner - Family Practice 8628156643 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G79019CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Regional Medical Group, Inc Family Medicine CurrentSince Dec 1, 2014 Accepting new patients
Orna Gil MD Inc Current Accepting new patients
Shasta Regional Medical Group Inc CurrentSince Dec 1, 2014 Accepting new patients

Locations

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

Interoperability endpoints

  • Direct secure messaging: cynthia.dillon.p3@direct.smmg.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA

Organizations & group practices 3

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1619977527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496084",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496084",
            "telephone_number": "530-229-7891",
            "fax_number": "530-229-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 EAST ST",
            "address_2": "SUITE 110",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010801",
            "telephone_number": "530-229-7891",
            "fax_number": "530-229-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "CYNTHIA",
        "middle_name": "REYNOLDS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G79019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G790190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.