Individual provider Active NPI

Kelly A Kynaston, D.O.

  • Infectious Disease Physician
  • Redding, CA
National Provider Identifier
1679852909
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
20A14750 Issued in CA
Practice address
2175 Rosaline Ave
Redding, CA 96001-2549
Phone
(530) 225-6000
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A14750 CA
Internal Medicine Physician 207R00000X UO2862 FL
Infectious Disease Physician 207RI0200X 20A14750 CA Primary

Addresses

Primary practice location

2175 Rosaline Ave
Redding, CA 96001-2549

Mailing address

PO Box 991844
Redding, CA 96099-1844
Phone (530) 246-9806

Other practice location 1

2701 Old Eureka Way Ste 1E
Redding, CA 96001-0228
Phone (530) 232-3000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831001886 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 2466748439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shasta Community Health CenterGroup PAC ID 3870579816, 63 clinicians
Redding Critical Care Medical Group, Inc.Group PAC ID 5193623320, 14 clinicians

Practice addresses (Care Compare)

1035 Placer St
Redding, CA 96001-1170
Phone (530) 246-5796

2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 225-6000

Hospital & facility affiliations

  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
  • Mayers Memorial Hospital Hospital, Fall River Mills, CA, CCN 051305
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
UO2862FLMDInternal Medicine Physician
20A14750CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Shasta Community Health Center CurrentSince Feb 1, 2026 Accepting new patients
Redding Critical Care Medical Group, Inc. Infectious Disease CurrentSince Aug 25, 2016 Accepting new patients

Locations

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

1035 Placer St
Redding, CA 96001

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

4215 Front St
Shasta Lake, CA 96019
Phone (530) 246-5896

Interoperability endpoints

  • Direct secure messaging: kelly.kynastonmd.p1@direct.schc.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1679852909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991844",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960991844",
            "telephone_number": "530-246-9806",
            "fax_number": "530-246-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 ROSALINE AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012549",
            "telephone_number": "530-225-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Old Eureka Way Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010228",
            "country_code": "US",
            "telephone_number": "530-232-3000",
            "fax_number": "530-242-8545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYNASTON",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A14750",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO2862",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "20A14750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.