NPIMap

Organization Active NPI

Dignity Health Connected Living

  • Non-emergency Medical Transport (VAN)
  • Redding, CA
National Provider Identifier
1902439425
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
DIGNITY HEALTH CONNECTED LIVING
Practice address
200 Mercy Oaks Dr
Redding, CA 96003-8641
Phone
(530) 226-3081
NPI assigned
Feb 13, 2020
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Joe Ayer
Title
Data Technology Analyst
Phone
(530) 226-3081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

200 Mercy Oaks Dr
Redding, CA 96003-8641

Mailing address

200 Mercy Oaks Dr
Redding, CA 96003-8641
Phone (530) 226-3081

Other identifiers 2

IdentifierTypeStateIssuer
1013348358MedicaidCA
1508076944MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Dignity Health Connected Living4 organizations share this tax ID, including this one
Part of
Mercy Medical Ctr

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1902439425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERCY OAKS DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960038641",
            "telephone_number": "530-226-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY OAKS DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960038641",
            "telephone_number": "530-226-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH CONNECTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2020-02-13",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AYER",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "DATA TECHNOLOGY ANALYST",
        "authorized_official_telephone_number": "530-226-3081"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013348358",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508076944",
            "state": "CA"
        }
    ],
    "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 Mar 7, 2023; 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.