Clear Creek Medical Corp

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

A86727 Issued in CA

Legal business name

CLEAR CREEK MEDICAL CORP

Practice address

1100 Butte St
Redding, CA 96001-0852

Phone

(530) 244-5400

NPI assigned

Dec 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Greg Greenberg, MD

Title

Ceo

Phone

(530) 355-2670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1629583018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 SUNRIVER LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010166",
            "telephone_number": "530-355-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010852",
            "telephone_number": "530-244-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Eureka Way",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010222",
            "country_code": "US",
            "telephone_number": "530-246-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEAR CREEK MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-355-2670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A86727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Class a in 1 Day Inc (Jiffy's Truck Rental)
• Faith Clause, FNP
• Amy Claxton
• Traci Sue Clay, RN
• Kristi Claycamp
• Michael G Cleary, M.D.
• Charley Anne Cleland
• Brandt Gabriel Clifford
• Jeremy Clifford
• Paris Lynn Clifford, 480730

• Addiction Medicine (Family Medicine) Physician in Redding, CA
• Providers in Redding, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.