Organization Active NPI

Redding Urologic Associates, a Medical Corp

  • Urology Physician
  • Redding, CA
National Provider Identifier
1952402190
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
REDDING UROLOGIC ASSOCIATES, A MEDICAL CORP
Doing business as
Redding Urologic Associates
Practice address
2626 Edith Ave Ste C
Redding, CA 96001-3056
Phone
(530) 241-3316
Fax
(530) 241-6319
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Patrick T Fowler, M.D.NPI 1477628006
Title
Corporation Officer
Phone
(530) 241-3316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

2626 Edith Ave Ste C
Redding, CA 96001-3056

Mailing address

2626 Edith Ave Ste C
Redding, CA 96001-3056
Phone (530) 241-3316

Other identifiers 3

IdentifierTypeStateIssuer
05D0617976OtherCACLIA ID
CP5241OtherCARAILROAD MEDICARE
ZZZ78528ZMedicaidCA

Other names 1

  • Redding Urologic Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040820000695 CA Part B Supplier - Clinic/Group Practice 1052385622 Receives reassigned benefits from 5 practitioners
Practice locations: Redding, CA
O20260511001230 CA DME Supplier - Physician - Hematology/Oncology 1052385622 Practice locations: Redding, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0617976Redding Urologic Assoc2626 Edith Avenue Suite C, Redding, CA 96001Provider-performed microscopyDec 31, 2027

National Provider Directory

National Provider Directory

Locations

2624 Edith Ave
Redding, CA 96001
Phone (530) 241-3316

Interoperability endpoints

  • Direct secure messaging: tiffanyperkins@reddinguroassoc.medalliesdirect.net
  • Direct secure messaging: patrickfowler@reddinguroassoc.medalliesdirect.net
  • Direct secure messaging: victorianoromero@reddinguroassoc.medalliesdirect.net
  • Direct secure messaging: christopherstockdale@reddinguroassoc.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 5

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1952402190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 EDITH AVE STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013056",
            "telephone_number": "530-241-3316",
            "fax_number": "530-241-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 EDITH AVE STE C",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013056",
            "telephone_number": "530-241-3316",
            "fax_number": "530-241-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDING UROLOGIC ASSOCIATES, A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CORPORATION OFFICER",
        "authorized_official_telephone_number": "530-241-3316",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "05D0617976",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP5241",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ78528Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redding Urologic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.