Redimedic Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G47926 Issued in CA

Legal business name

REDIMEDIC INC

Practice address

3418 Loma Vista Rd
Suite B
Ventura, CA 93003-3016

Phone

(805) 644-4809

Fax

(805) 654-7090

NPI assigned

Jan 11, 2010

Last updated

Jan 11, 2010By 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. Stephen Robert Shaw, MDNPI 1215964994

Title

Medical Director

Phone

(805) 644-4809

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Stephen R. Shaw, M.D.

  • Interventional Pain Medicine Physician
  • Ventura, CA
  • NPI 1215964994
  Authorized official Same address or phone

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1649500877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD",
            "address_2": "SUITE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033016",
            "telephone_number": "805-644-4809",
            "fax_number": "805-654-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD",
            "address_2": "SUITE B",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033016",
            "telephone_number": "805-644-4809",
            "fax_number": "805-654-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDIMEDIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-644-4809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G47926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ermilinda Caroline Recchi, RBT
• Recharge Physical Therapy & Sport Performance
• Rajender G. Reddy, M.D.
• Jill Reder, BCBA
• Emily Redfield
• Clarence Reeves Jr.
• Erica Reeves
• Refined Homecare LLC
• Bonnie G Reich, PH.D.
• Amanda Elizabeth Reinhart, MD

• General Practice Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.