Active NPI
Cynthia Reynolds Dillon, M.D.
- Family Medicine Physician
- Redding, CA
National Provider Identifier
1619977527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G79019
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G790190 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G79019 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shasta Regional Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Orna Gil MD Inc | Current | Accepting new patients | |
| Shasta Regional Medical Group Inc | Current | 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
- cynthia.dillon.p3@direct.smmg.nextgenshare.com
- 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.
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- Weed, CA
- NPI 1588048680
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.