NPIMap

Organization Active NPI

Shasta Integrative Health

  • General Practice Physician
  • Redding, CA
National Provider Identifier
1750806352
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1285654921 Issued in CA
Legal business name
SHASTA INTEGRATIVE HEALTH
Practice address
85 Hartnell Ave Ste 100
Redding, CA 96002-1888
Phone
(530) 222-1777
Fax
(530) 222-1879
NPI assigned
Aug 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Robert Porzio, DO
Title
President
Phone
(530) 222-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 1285654921 CA Primary

Addresses

Primary practice location

85 Hartnell Ave Ste 100
Redding, CA 96002-1888

Mailing address

85 Hartnell Ave Ste 100
Redding, CA 96002-1888
Phone (530) 222-1777

National Provider Directory

National Provider Directory

Locations

85 Hartnell Ave
Ste 100
Redding, CA 96002
Phone (530) 222-1777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750806352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HARTNELL AVE STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021888",
            "telephone_number": "530-222-1777",
            "fax_number": "530-222-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HARTNELL AVE STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021888",
            "telephone_number": "530-222-1777",
            "fax_number": "530-222-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PORZIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-222-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "1285654921",
            "primary": true
        }
    ],
    "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.