Redding Anesthesia Associates Medical Group

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

REDDING ANESTHESIA ASSOCIATES MEDICAL GROUP

Practice address

1335 Buenaventura Blvd Ste 100
Redding, CA 96001

Phone

(530) 247-7246

Fax

(530) 245-0849

NPI assigned

Mar 6, 2006

Organization subpart

No

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

Authorized official

Name

Shishir A Dhruva, MD

Title

MD/Partner

Phone

(530) 247-7246

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Therapeutic Pain Management Medical Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Michael Bugaj, MD

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1093773699
  NPD (past)
• Mana Hobson, M.D.

  • Internal Medicine Physician
  • Independence, MO
  • NPI 1851447049
  NPD (past)

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544832000000",
    "number": "1962479261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 BUENAVENTURA BLVD STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010160",
            "telephone_number": "530-247-7246",
            "fax_number": "530-245-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 BUENAVENTURA BLVD STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-247-7246",
            "fax_number": "530-245-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDDING ANESTHESIA ASSOCIATES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-06",
        "last_updated": "2018-12-15",
        "status": "A",
        "authorized_official_last_name": "DHRUVA",
        "authorized_official_first_name": "SHISHIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/PARTNER",
        "authorized_official_telephone_number": "530-247-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0055650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Pain Management Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Azelarab Reda
• Daniel Redden, LMFT
• Redding Acupuncture Health Care, a Professional Corporation
• Redding Alternatives, Inc.
• Redding Anesthesia Associates LP
• Redding Birth Center
• Redding Cancer Treatment Center
• Redding Cardiac & Vascular Surgery Medical Corporation
• Redding Critical Care Medical Group, Inc.
• Redding Dermatology Medical Group, Inc.

• Anesthesiology Physician in Redding, CA
• Providers in Redding, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2018; 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.