NPIMap

Individual provider Active NPI

Norman Wall, DO

  • Nephrology Physician
  • Redding, CA
National Provider Identifier
1861416661
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
04997 Issued in IA
Practice address
2701 Old Eureka Way Ste 1E
Redding, CA 96001-0228
Phone
(530) 232-3000
Fax
(530) 242-8545
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 04997 IA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 04997 IA

Addresses

Primary practice location

2701 Old Eureka Way Ste 1E
Redding, CA 96001-0228

Mailing address

2701 Old Eureka Way Ste 1E
Redding, CA 96001-0228
Phone (530) 232-3000

Other identifiers 1

IdentifierTypeStateIssuer
00AX71800MedicaidCA

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
I20050610000852 CA Practitioner - Internal MedicinePractitioner - Addiction MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - NephrologyPractitioner - General PracticePractitioner - Geriatric Medicine 6103860176 Reassigns benefits to 1 organization
Practice locations: Temecula, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine, Geriatric Medicine, Nephrology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Critical Care Specialists Medical Clinic IncGroup PAC ID 0547228884, 4 clinicians

Practice addresses (Care Compare)

2701 Old Eureka Way
Suite 1E
Redding, CA 96001-0228
Phone (530) 232-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04997IAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Critical Care Specialists Medical Clinic, Inc. Nephrology CurrentSince Jan 14, 2025 Accepting new patients
Norman Wall D.O. Inc. Past Accepting new patients
Napa Valley Internal Medicine Endocrinology, Diabetes & Metabolism PastSince Aug 30, 2020 Accepting new patients

Locations

2701 Old Eureka Way
Ste 1E
Redding, CA 96001
Phone (530) 232-3000

2701 Old Eureka Way
Ste 1J
Redding, CA 96001
Phone (530) 232-3000

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.

Hospital & facility affiliations 8

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1861416661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 OLD EUREKA WAY STE 1E",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010228",
            "telephone_number": "530-232-3000",
            "fax_number": "530-242-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 OLD EUREKA WAY STE 1E",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010228",
            "telephone_number": "530-232-3000",
            "fax_number": "530-242-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "NORMAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "04997",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IA",
            "license": "04997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX71800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.