Active NPI
Lee Raunig
- Family Medicine Physician
- Redding, CA
National Provider Identifier
1932860954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PTL3744
- Practice address
- 4568 Harrison Ave
Redding, CA 96001-4052 - Phone
- (406) 546-0468
- NPI assigned
- Jan 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | PTL3744 | CA | Primary |
Addresses
Primary practice location
4568 Harrison Ave
Redding, CA 96001-4052
Mailing address
4568 Harrison Ave
Redding, CA 96001-4052
Phone (406) 546-0468
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241030001404 | CA | Order and Referring Only - Family Practice | 6507399433 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3744 | CA | MD | Professional Counselor |
| PTL3744 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1932860954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4568 HARRISON AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960014052",
"telephone_number": "406-546-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4568 HARRISON AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960014052",
"telephone_number": "406-546-0468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUNIG",
"first_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-02",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "PTL3744",
"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 Sep 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.