Individual provider Active NPI

Eric Rudnick, M.D.

  • Emergency Medicine Physician
  • Red Bluff, CA
National Provider Identifier
1821462938
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G76393 Issued in CA
Practice address
2440 Sister Mary Columba Dr
Red Bluff, CA 96080-4356
Phone
(530) 241-1473
NPI assigned
Dec 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G76393 CA Primary

Addresses

Primary practice location

2440 Sister Mary Columba Dr
Red Bluff, CA 96080-4356

Mailing address

345 Hickory St Ste 4
Red Bluff, CA 96080-2771
Phone (888) 633-1441

Other practice location 1

1950 Rosaline Ave Ste B
Redding, CA 96001-2543
Phone (530) 245-4801

Other practice location 2

1100 Butte St
Redding, CA 96001-0852
Phone (530) 229-2954

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
I20160412002688 CA Practitioner - Emergency Medicine 0840598595 Practice locations: Red Bluff, CA; Redding, CA

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Wisconsin, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Butte St
Redding, CA 96001-0852
Phone (530) 229-2954

2440 Sister Mary Columba Dr
Suite 300
Red Bluff, CA 96080-4356
Phone (530) 529-9729

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1493
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G76393CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marta E Alvarez MD PC PastSince Nov 6, 2017 Accepting new patients
Timothy a Fitzer MD Inc a Professional Medical Corporation Past Accepting new patients

Organizations & group practices 2

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 5

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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1821462938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 HICKORY ST STE 4",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802771",
            "telephone_number": "888-633-1441",
            "fax_number": "888-633-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SISTER MARY COLUMBA DR",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804356",
            "telephone_number": "530-241-1473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Rosaline Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012543",
            "country_code": "US",
            "telephone_number": "530-245-4801",
            "fax_number": "530-245-4809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Butte St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010852",
            "country_code": "US",
            "telephone_number": "530-229-2954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G76393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

Verify at the official NPI Registry.