Active NPI
Plastic Surgery Associates of Redding a Medical Corporation
- Plastic Surgery Physician
- Redding, CA
National Provider Identifier
1710035035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- PLASTIC SURGERY ASSOCIATES OF REDDING A MEDICAL CORPORATION
- Practice address
- 2439 Sonoma St
Suite 101
Redding, CA 96001-3026 - Phone
- (530) 241-1300
- Fax
- (530) 241-0200
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark D Ball, MD
- Title
- President
- Phone
- (530) 241-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
2439 Sonoma St
Suite 101
Redding, CA 96001-3026
Mailing address
2439 Sonoma St
Suite 101
Redding, CA 96001-3026
Phone (530) 241-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ37414Z | Other | CA | MEDICARE GROUP ID |
| GR0057070 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Redding, CA
- NPI 1346254380
-
- Plastic Surgery Physician
- Redding, CA
- NPI 1114931151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329868800000",
"number": "1710035035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2439 SONOMA ST",
"address_2": "SUITE 101",
"city": "REDDING",
"state": "CA",
"postal_code": "960013026",
"telephone_number": "530-241-1300",
"fax_number": "530-241-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2439 SONOMA ST",
"address_2": "SUITE 101",
"city": "REDDING",
"state": "CA",
"postal_code": "960013026",
"telephone_number": "530-241-1300",
"fax_number": "530-241-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGERY ASSOCIATES OF REDDING A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2012-02-22",
"status": "A",
"authorized_official_last_name": "BALL",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-241-1300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID",
"identifier": "ZZZ37414Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0057070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
- Richard Dean Pitcher, PHARM D
- Sean D. Pitman, M.D.
- Wendy Ella Pizzi, CADC CAS C26321214
- Sarah L Planchard, MPA-C
- Planned Parenthood Shasta Diablo, Inc (Planned Parenthood Northern California)
- Kevin Eugene Platner, D.D.S
- Edward Plaza
- Brianna Annette Plowman
- Stephanie Aiguier Pluim, ACSW
- Alice T Plummer, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.