Individual provider Active NPI

Joyce H. Ma, MD-PHD

  • General Practice Physician
  • Redding, CA
National Provider Identifier
1811302789
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A167379 Issued in CA
Practice address
630 Twin View Blvd
Redding, CA 96003-2010
Phone
(650) 810-6208
Fax
(530) 605-3703
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A167379 CA Primary

Addresses

Primary practice location

630 Twin View Blvd
Redding, CA 96003-2010

Mailing address

630 Twin View Blvd
Redding, CA 96003-2010
Phone (650) 810-6208

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200220002637 CA Practitioner - Family Practice 1658706759 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167379CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center CurrentSince Jan 1, 2020 Accepting new patients
Shasta Community Health Center CurrentSince Jan 1, 2020 Accepting new patients
Shasta Community Health Center Current Accepting new patients

Locations

1035 Placer St
Redding, CA 96001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1811302789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 TWIN VIEW BLVD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960032010",
            "telephone_number": "650-810-6208",
            "fax_number": "530-605-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 TWIN VIEW BLVD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960032010",
            "telephone_number": "650-810-6208",
            "fax_number": "530-605-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "JOYCE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD-PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A167379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.