Active NPI
Brandon Baldwin, PA-CERTIFIED
- Physician Assistant
- Redding, CA
National Provider Identifier
1891422929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA65240
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P41405 | CA | MD | Paramedic |
| PA65240 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.