Active NPI
Gregory B. Hicks, MD
- Emergency Medicine Physician
- Redding, CA
National Provider Identifier
1649384553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A43909
- Practice address
- 1100 Butte St
Redding, CA 96001-0852 - Phone
- (530) 244-5400
- NPI assigned
- Aug 18, 2006
- Last updated
- Jan 13, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A43909 | CA | Primary |
Addresses
Primary practice location
1100 Butte St
Redding, CA 96001-0852
Mailing address
PO Box 11949
Westminster, CA 92685-1949
Phone (866) 883-5374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A439090 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
| Nor Cal Emergency Physicians Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
| Amador Emergency Physicians Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| Amador Emergency Physicians Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1417040619
-
- Emergency Medicine Physician
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- NPI 1033152350
-
- Emergency Medicine Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1649384553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11949",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926851949",
"telephone_number": "866-883-5374"
},
{
"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": [],
"basic": {
"last_name": "HICKS",
"first_name": "GREGORY",
"middle_name": "B.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A43909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A439090",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
- Lluvia Hetrick
- Bryan G Hewitt
- Danielle Hibbard, AMFT
- Stephanie A Hibbs
- Alyssa Hickcox, CCC-SLP
- Brandi Higginbottom
- Mikayla Lynn Higgins, PMHNP
- Higher Ground Family Therapy, Inc (Higher Ground Counseling)
- Higher Ground Life Services, Inc (Higher Ground Counseling)
- Higher Ground Life Services, Inc. (Higher Ground Counseling)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.