NPIMap

Organization Active NPI

Ca Post Acute Specialists PC

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1710401302
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CA POST ACUTE SPECIALISTS PC
Practice address
201 Hartnell Ave
Redding, CA 96002-1843
Phone
(800) 411-6768
NPI assigned
Jul 26, 2017
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Laurel Dotas
Title
Chief Operating Office
Phone
(352) 215-1603

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

201 Hartnell Ave
Redding, CA 96002-1843

Mailing address

119 S Western Ave Unit 1
Chicago, IL 60612-4644
Phone (800) 411-6768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171031003052 CA Part B Supplier - Clinic/Group Practice 7911273248 Receives reassigned benefits from 47 practitioners
Practice locations: Vallejo, CA; Turlock, CA; Spring Valley, CA; Santa Barbara, CA; Salinas, CA; Morgan Hill, CA; Redding, CA; Monterey, CA…

National Provider Directory

National Provider Directory

Locations

3525 Del Mar Heights Rd
#966
San Diego, CA 92130

1000 W Fulton Market
Ste 213
Chicago, IL 60607

Practitioners & affiliated clinicians

Practitioners 53

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.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1710401302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S WESTERN AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124644",
            "telephone_number": "800-411-6768",
            "fax_number": "855-751-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021843",
            "telephone_number": "800-411-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA POST ACUTE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "DOTAS",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICE",
        "authorized_official_telephone_number": "352-215-1603"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.