NPIMap

Individual provider Active NPI

Jill Ann Shaw, MD

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1790839355
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A97507 Issued in CA
Practice address
1035 Placer St
Redding, CA 96001-1125
Phone
(530) 246-5738
Fax
(530) 245-9336
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A97507 CA Primary

Addresses

Primary practice location

1035 Placer St
Redding, CA 96001-1125

Mailing address

1035 Placer St
Redding, CA 96001-1125
Phone (530) 246-5738

Other names 1

  • Jill Ann McClure Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000566 CA Practitioner - Family Practice 1355409087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Community Health CenterGroup PAC ID 3870579816, 63 clinicians
Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

1035 Placer St
Redding, CA 96001-1170
Phone (530) 246-5796

2480 Sonoma St
Redding, CA 96001-3027
Phone (530) 576-7405

310 Hartnell Ave
Suite Aandc
Redding, CA 96002-1800
Phone (530) 245-2900

4215 Front St
Shasta Lake, CA 96019-9430
Phone (530) 275-9168

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97507CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center Family Medicine CurrentSince Jul 13, 2015 Accepting new patients
Shasta Community Health Center Current Accepting new patients
Hill Country Community Clinic CurrentSince Aug 23, 2023 Accepting new patients
Dignity Health CurrentSince Jul 13, 2015 Accepting new patients
Shasta Community Health Center CurrentSince Jul 13, 2015 Accepting new patients
Hill Country Community Clinic CurrentSince Aug 23, 2023 Accepting new patients
Dignity Health CurrentSince Jul 13, 2015 Accepting new patients
Hill Country Community Clinic Past Accepting new patients

Locations

2450 Sister Mary Columba Dr
#D
Red Bluff, CA 96080
Phone (530) 527-0414

1401 Gold St
Redding, CA 96001
Phone (530) 238-7133

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

2480 Sonoma St
Redding, CA 96001
Phone (530) 225-6090

1035 Placer St
Redding, CA 96001

29632 E Highway 299
Round Mtn, CA 96084
Phone (530) 337-5750

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jill.mcclure.p1@direct.schc.nextgenshare.com

Organizations & group practices 8

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1790839355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011125",
            "telephone_number": "530-246-5738",
            "fax_number": "530-245-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011125",
            "telephone_number": "530-246-5738",
            "fax_number": "530-245-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JILL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A97507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MCCLURE",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.