Individual provider Active NPI

Brandon Baldwin, PA-CERTIFIED

  • Physician Assistant
  • Redding, CA
National Provider Identifier
1891422929
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65240 Issued in CA
Practice address
1920 California St Ste a
Redding, CA 96001-1953
Phone
(530) 247-7070
Fax
(530) 244-7246
NPI assigned
Aug 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X P41405 CA
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA65240 CA Primary

Addresses

Primary practice location

1920 California St Ste a
Redding, CA 96001-1953

Mailing address

282 Ridgetop Dr
Redding, CA 96003-3262
Phone (530) 776-4570

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260504007977 CA Practitioner - Physician Assistant 6800364290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1920 California St
Suite a
Redding, CA 96001-1953

2208 Shasta St
Redding, CA 96001-1538

Hospital & facility affiliations

  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P41405CAMDParamedic
PA65240CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
California Family Medical Group Inc Past Accepting new patients

Organizations & group practices 1

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 1

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1891422929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 RIDGETOP DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033262",
            "telephone_number": "530-776-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CALIFORNIA ST STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011953",
            "telephone_number": "530-247-7070",
            "fax_number": "530-244-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "BRANDON",
        "credential": "PA-CERTIFIED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "CA",
            "license": "P41405",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.