Active NPI
Christina Carson Pangborn Skaggs, PA-C
- Physician Assistant
- Redding, CA
National Provider Identifier
1952662017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA22287
- Practice address
- 2175 Rosaline Ave
Redding, CA 96001-2549 - Phone
- (510) 350-2777
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22287 | CA | Primary |
Addresses
Primary practice location
2175 Rosaline Ave
Redding, CA 96001-2549
Mailing address
2100 Powell St Ste 920
Emeryville, CA 94608-1844
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA22287 | CA | MD | Physician Assistant |
| 22287 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enloe Medical Center | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| Enloe Medical Center | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Enloe Medical Center | Past | Accepting new patients |
Locations
1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332
1600 Esplanade
Chico, CA 95926
Phone (530) 332-4470
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1952662017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 920",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2175 ROSALINE AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960012549",
"telephone_number": "510-350-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAGGS",
"first_name": "CHRISTINA",
"middle_name": "CARSON PANGBORN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22287",
"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 Feb 17, 2017; 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.