Active NPI
Steven Irey, PA-C
- Surgical Physician Assistant
- Redding, CA
National Provider Identifier
1710005202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 11581
- Practice address
- 2510 Airpark Dr
Suite 301
Redding, CA 96001-2449 - Phone
- (530) 242-3500
- Fax
- (530) 242-3546
- NPI assigned
- Mar 26, 2007
- Last updated
- May 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 11581 | CA | Primary |
Addresses
Primary practice location
2510 Airpark Dr
Suite 301
Redding, CA 96001-2449
Mailing address
3400 Data Dr
Physician Support Services, 2ND Floor
Rancho Cordova, CA 95670-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11581 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1710005202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"address_2": "PHYSICIAN SUPPORT SERVICES, 2ND FLOOR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 AIRPARK DR",
"address_2": "SUITE 301",
"city": "REDDING",
"state": "CA",
"postal_code": "960012449",
"telephone_number": "530-242-3500",
"fax_number": "530-242-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IREY",
"first_name": "STEVEN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "11581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
- Interim Assisted Care of Northern California (Interim HealthCare Personal Care & Supportive Services)
- Interim Assisted Care of Northern California, Inc.
- Interim Healthcare of Northern California
- Interim Healthcare of Northern California (Interim HealthCare Hospice)
- Diana Isabel Iraheta, O.D
- Aric Isham
- Andrew Joseph Isola, LMFT
- Katherine Louise Iverson
- J Healing Clinic Occupational Therapy
- J. David Moody, DDS, a Professional Dental Corporation (Affordable Dentures & Implants - Redding)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.