Swenson Medical Group Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SWENSON MEDICAL GROUP PROFESSIONAL CORPORATION

Practice address

1501 S Oregon St
Yreka, CA 96097-3425

Phone

(530) 842-2062

Fax

(530) 842-2160

NPI assigned

Feb 21, 2007

Last updated

Aug 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Erick Swenson, M.D.NPI 1043301732

Title

Owner

Phone

(530) 842-2062

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Richard E Swenson, MD

  • Family Medicine Physician
  • Yreka, CA
  • NPI 1043301732
  Authorized official Same address or phone
• David Francis Dellalana, MD

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1356449029
  NPD (past)
• Vina K Swenson, MD

  • Pediatrics Physician
  • Yreka, CA
  • NPI 1447341995
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1649315029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S OREGON ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973425",
            "telephone_number": "530-842-2062",
            "fax_number": "530-842-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S OREGON ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973425",
            "telephone_number": "530-842-2062",
            "fax_number": "530-842-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWENSON MEDICAL GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-842-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Stewart
• Andrea Stock, MS, PPS
• Steven Stott
• Superintendent of Schools
• Jacquiline Swain
• Richard E Swenson, MD
• Vina K Swenson, MD
• Gordon Tadewaldt, MD
• Abigail Coleen Tandy
• Adam Taylor

• Primary Care Clinic/Center in Yreka, CA
• Providers in Yreka, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.