Individual provider Active NPI

Julie Eldredge Fitzgerald, PA-C

  • Medical Physician Assistant
  • Redding, CA
National Provider Identifier
1982987749
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
64377 Issued in CA
Practice address
1035 Placer St
Redding, CA 96001-1170
Phone
(530) 246-5710
Fax
(530) 245-0638
NPI assigned
Sep 27, 2011
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 64377 CA Primary

Addresses

Primary practice location

1035 Placer St
Redding, CA 96001-1170

Mailing address

1035 Placer St
Redding, CA 96001-1170
Phone (530) 246-5710

Other practice location 1

530 DeMoss Street
Hidalgo Medical Services
Lordsburg, NM 88045-2618
Phone (575) 542-8384

Other identifiers 1

IdentifierTypeStateIssuer
69756279MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111219000699 NM Practitioner - Physician Assistant 7517132665 Reassigns benefits to 1 organization
I20250408003241 CA Practitioner - Physician Assistant 7517132665 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64377CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center CurrentSince Jan 26, 2025 Accepting new patients
Shasta Community Health Center Medical CurrentSince Jan 26, 2025 Accepting new patients

Locations

1035 Placer St
Redding, CA 96001

Interoperability endpoints

  • Direct secure messaging: julie.fitzgeraldpac.p1@direct.schc.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1982987749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011170",
            "telephone_number": "530-246-5710",
            "fax_number": "530-245-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011170",
            "telephone_number": "530-246-5710",
            "fax_number": "530-245-0638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 DeMoss Street",
            "address_2": "Hidalgo Medical Services",
            "address_purpose": "LOCATION",
            "city": "Lordsburg",
            "state": "NM",
            "postal_code": "880452618",
            "country_code": "US",
            "telephone_number": "575-542-8384",
            "fax_number": "575-542-2328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JULIE",
        "middle_name": "ELDREDGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "64377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69756279",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.