Shasta Medical Associates Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

SHASTA MEDICAL ASSOCIATES INC.

Practice address

1555 East St
Suite 300
Redding, CA 96001-1153

Phone

(530) 244-6716

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Shawna L Smith

Title

Billing Agent

Phone

(530) 244-6716

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 4

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

• Mitchell Stuart Akman, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Redding, CA
  • NPI 1831266345
  NPD
• Fernando Alvarez, M.D.

  • Internal Medicine Physician
  • Redding, CA
  • NPI 1801804901

  Single Specialty

  NPD (past)
• Bruce Howard Kittrick, MD

  • Hospitalist Physician
  • Redding, CA
  • NPI 1972511012
  NPD (past)
• Preethy Devi Kaibara, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1306017033
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972511095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 EAST ST",
            "address_2": "SUITE 300",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011153",
            "telephone_number": "530-244-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 EAST ST",
            "address_2": "SUITE 300",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011153",
            "telephone_number": "530-244-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASTA MEDICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "530-244-6716"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F10686",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE8794",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G62314",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E32911",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H31167",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F36718",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G15875",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shasta Heart Partners Inc
• Shasta Integrative Health
• Shasta Internal Medicine a Medical Corporation
• Shasta Meadows Wellness Center
• Shasta Meadows Wellness Center
• Shasta Medical Equipment
• Shasta Medical Lab
• Shasta Nutrition Services
• Shasta Orthopedics & Sports Medicine a Medical Corporation
• Shasta Physical Therapy

• Preferred Provider Organization in Redding, CA
• Providers in Redding, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.