NPIMap

Organization Active NPI

Redwood Osteopathy Inc

  • Neuromusculoskeletal Medicine & OMM Physician
  • McKinleyville, CA
National Provider Identifier
1861769739
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
20A8316 Issued in CA
Legal business name
REDWOOD OSTEOPATHY INC
Practice address
1225 Central Ave
Suite 12
McKinleyville, CA 95519-4390
Phone
(707) 633-6146
Fax
(707) 633-6147
NPI assigned
Nov 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. Kate McCaffrey, D.O.
Title
President/Owner
Phone
(707) 633-6146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 20A8316 CA Primary

Addresses

Primary practice location

1225 Central Ave
Suite 12
McKinleyville, CA 95519-4390

Mailing address

1225 Central Ave
Suite 12
McKinleyville, CA 95519-4390
Phone (707) 633-6146

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ69037YOtherCABLUE SHIELD OF CA
ZZZ69037YOtherTRICARE

National Provider Directory

National Provider Directory

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": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1861769739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CENTRAL AVE",
            "address_2": "SUITE 12",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194390",
            "telephone_number": "707-633-6146",
            "fax_number": "707-633-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CENTRAL AVE",
            "address_2": "SUITE 12",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194390",
            "telephone_number": "707-633-6146",
            "fax_number": "707-633-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD OSTEOPATHY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "MCCAFFREY",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "707-633-6146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A8316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ69037Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "ZZZ69037Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinleyville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.