Individual provider Active NPI

David Holt, M.D.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1700189404
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A114454 Issued in CA
Practice address
2480 Sonoma St
Redding, CA 96001-3027
Phone
(530) 225-7888
Fax
(530) 225-7889
NPI assigned
Dec 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-7780 AR
Family Medicine Physician 207Q00000X A114454 CA Primary

Addresses

Primary practice location

2480 Sonoma St
Redding, CA 96001-3027

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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
I20170511002500 CA Practitioner - Family Practice 8820229172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

2480 Sonoma St
Redding, CA 96001-3027
Phone (530) 576-7405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
114454CAMDClinical Social Worker
E-7780ARMDFamily Medicine Physician
A114454CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Hospitalists PC CurrentSince Oct 1, 2018 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Apr 1, 2017 Accepting new patients
Galen Inpatient Physicians Inc Family Medicine CurrentSince Apr 1, 2017 Accepting new patients
Dignity Health CurrentSince Feb 10, 2019 Accepting new patients
Dignity Health CurrentSince Feb 10, 2019 Accepting new patients
Dignity Health Current Accepting new patients
Vituity Hospitalists PC CurrentSince Oct 1, 2018 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients

Locations

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

2480 Sonoma St
Redding, CA 96001
Phone (530) 225-6090

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

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1292630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1700189404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 SONOMA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013027",
            "telephone_number": "530-225-7888",
            "fax_number": "530-225-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-18",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7780",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A114454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.