Jason M Redd, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A77465 Issued in CA

Practice address

1100 Las Tablas Rd
Templeton, CA 93465-9704

Phone

(805) 434-3500

NPI assigned

May 5, 2006

Last updated

May 24, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Emergency Medicine

Education

University of California, Davis School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Coast Emergency PhysiciansGroup PAC ID 9234114067, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Coast Emergency Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Templeton, CA
  • NPI 1972535557
  Medicare reassignment Care Compare group
• Med-Stops Medical Clinic, Inc.

  • Emergency Care Clinic/Center
  • San Luis Obispo, CA
  • NPI 1295718849
  Medicare reassignment
• Kristopher Lyon, MD & Rachel May, MD, a Medical Corporation

  • Urgent Care Clinic/Center
  • San Luis Obispo, CA
  • NPI 1497572804
  NPD

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

• Twin Cities Community Hospital, Inc.

  dba Twin Cities Community Hospital

  • General Acute Care Hospital
  • Templeton, CA
  • NPI 1396778197
  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1720036304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934650087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAS TABLAS RD",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659704",
            "telephone_number": "805-434-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDD",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A77465",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "A77465",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A774650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaila Rall, CWC II
• Randolph S Lawrence MD a Medical Corp
• Karim Rasheed, M.D.
• Michael Anthony Reburn, MD
• Cinnamon H Redd, MD
• Marcia C. Reiley, PT
• Elaine Summers Remy, M.D.
• Restorative Spine and Pain, Inc.
• Reynaldo M. Cordero, M.D, Inc. (Medworks Medical Center)
• Michelle Dulude Ribas, M.D.

• Emergency Medicine Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.