Shasta Orthopedics & Sports Medicine a Medical Corporation

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SHASTA ORTHOPEDICS & SPORTS MEDICINE A MEDICAL CORPORATION

Doing business as

Shasta Orthopaedics and Sports Medicine

Practice address

1255 Liberty Street
Redding, CA 96001-0814

Phone

(530) 246-2467

Fax

(530) 242-9460

NPI assigned

Sep 1, 2006

Last updated

Dec 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul E Schwartz, MDNPI 1780796904

Title

President

Phone

(530) 246-2467

Specialties & licenses 5

Addresses

Other names 1

• Shasta Orthopaedics and Sports Medicine Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• Direct secure messaging: shastaorthopaedicsandsportsmedicine@soasm.ssdirect.aprima.com

Practitioners 67

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.

• Paul E Schwartz, MD

  • Orthopaedic Surgery Physician
  • Redding, CA
  • NPI 1780796904
  Medicare reassignment Care Compare group NPD Authorized official
• Rita Maureen Allmeyer-Green, P.T.

  • Physical Therapist
  • Redding, CA
  • NPI 1043236946
  Medicare reassignment Care Compare group NPD
• Michael T Borrello, MD

  • Interventional Pain Medicine Physician
  • Redding, CA
  • NPI 1265476857
  Medicare reassignment Care Compare group NPD
• Tony Li-Wei Chang, MD

  • Sports Medicine (Family Medicine) Physician
  • Redding, CA
  • NPI 1871784678
  Medicare reassignment Care Compare group NPD
• Laura Dellacort-Erickson, OTR/L

  • Occupational Therapist
  • Redding, CA
  • NPI 1871878538
  Medicare reassignment Care Compare group NPD
• Stephen P Ferraro Jr., MD

  • Orthopaedic Hand Surgery Physician
  • Redding, CA
  • NPI 1366544595

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Hannah Lehua Hamilton, DPT

  • Physical Therapist
  • Anderson, CA
  • NPI 1407240245
  Medicare reassignment Care Compare group NPD
• Rachel Ann Hoyal, DPM

  • Foot & Ankle Surgery Podiatrist
  • Santa Rosa, CA
  • NPI 1598991366
  Medicare reassignment Care Compare group NPD
• Lee Steven James, D.C.

  • Chiropractor
  • Redding, CA
  • NPI 1487755997
  Medicare reassignment Care Compare group NPD
• Eric J Jenkinson, MD

  • Pediatric Sports Medicine Physician
  • Redding, CA
  • NPI 1427057132
  Medicare reassignment Care Compare group NPD
• Taylor Jones, FNP

  • Family Nurse Practitioner
  • Redding, CA
  • NPI 1003616111
  Medicare reassignment Care Compare group NPD
• Galen S. Kam, M.D.

  • Orthopaedic Surgery Physician
  • Redding, CA
  • NPI 1477617496
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1750493979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991950",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960991950",
            "telephone_number": "530-246-2467",
            "fax_number": "530-242-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 LIBERTY STREET",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010814",
            "telephone_number": "530-246-2467",
            "fax_number": "530-242-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA ORTHOPEDICS & SPORTS MEDICINE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-246-2467",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ShastaOrthopaedicsandSportsMedicine@soasm.ssdirect.aprima.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1255 Liberty Street",
            "city": "Redding",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960010814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shasta Orthopaedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shasta Orthopaedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shasta Meadows Wellness Center
• Shasta Medical Associates Inc.
• Shasta Medical Equipment
• Shasta Medical Lab
• Shasta Nutrition Services
• Shasta Physical Therapy
• Shasta Primary Care LLC
• Shasta Professional Eye Care Center, Doctors of Optometry, Inc.
• Shasta Regional Emergency Medical Associates, Inc
• Shasta Regional Medical Center, LLC

• Orthopaedic Surgery Physician in Redding, CA
• Providers in Redding, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.