Active NPI
Redding Urologic Associates, a Medical Corp
- Urology Physician
- Redding, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick T Fowler, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D0617976 | Other | CA | CLIA ID |
| CP5241 | Other | CA | RAILROAD MEDICARE |
| ZZZ78528Z | Medicaid | CA |
Other names 1
- Redding Urologic Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0617976 | Redding Urologic Assoc | Provider-performed microscopy | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
2624 Edith Ave
Redding, CA 96001
Phone (530) 241-3316
Interoperability endpoints
- tiffanyperkins@reddinguroassoc.medalliesdirect.net
- patrickfowler@reddinguroassoc.medalliesdirect.net
- victorianoromero@reddinguroassoc.medalliesdirect.net
- 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.
-
- Urology Physician
- Redding, CA
- NPI 1477628006
-
- Urology Physician
- Redding, CA
- NPI 1518383140
-
- Urology Physician
- Redding, CA
- NPI 1124261946
-
- Urology Physician
- Redding, CA
- NPI 1093880619
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.