SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC. - NPI 1245249770

Q: What is Shasta Critical Care Specialists Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

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About Shasta Critical Care Specialists Medical Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC. (NPI 1245249770) is a healthcare organization registered as a critical care medicine in Redding, California and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through November 20, 2027 and lists Rafael Lupercio, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1245249770

Entity TypeOrganization

Primary Taxonomy207RC0200X

Legal Business NameSHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC.

Location Address2701 OLD EUREKA WAY, SUITE 1ERedding, CA 96001-0228

Mailing Address2701 Old Eureka Way Ste 1eRedding, CA 96001-0228 · (530) 232-3000 · Fax (530) 242-8545

Phone(530) 232-3000

Fax(530) 232-3099

Organization SubpartNo

Authorized OfficialRafael LupercioAuthorized Official · (530) 232-3000

Enumeration DateAugust 5, 2006

Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1245249770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

2701 OLD EUREKA WAY, Redding, CA 96001

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1019618

Shasta Critical Care Specialists Medical Clinic, Inc · Redding, CA

Active · expires Nov 20, 2027

CLIA Number05D1019618

Laboratory TypePhysician Office

Certificate Effective DateNovember 21, 2025

Certificate Expiration DateNovember 20, 2027

Laboratory DirectorJeffrey Krahling MD

Laboratory Phone(530) 232-3000

Laboratory LocationShasta Critical Care Specialists Medical Clinic, Inc2701 Old Eureka Way Ste 1-E, Redding, CA 96001

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA A TIORAN DO INC

Internal Medicine (Interventional Cardiology)

2701 OLD EUREKA WAY, STE F
REDDING, CA 96001

Shasta County (530) 241-4250

MR. RONALD EARL REECE MD

Dermatology

2701 OLD EUREKA WAY, SUITE 2A
REDDING, CA 96001

Shasta County (530) 246-0236

JOHN SCOTT SUTHERLAND DDS

Dentist (General Practice)

2701 OLD EUREKA WAY, SUITE 1A
REDDING, CA 96001

Shasta County (530) 243-9425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shasta Critical Care Specialists Medical Clinic, Inc.'s NPI number?

The NPI number for Shasta Critical Care Specialists Medical Clinic, Inc. is 1245249770. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Shasta Critical Care Specialists Medical Clinic, Inc. located?

Shasta Critical Care Specialists Medical Clinic, Inc. is located at 2701 Old Eureka Way Suite 1E, Redding, CA 96001. The listed phone number is (530) 232-3000.

What is Shasta Critical Care Specialists Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Does Shasta Critical Care Specialists Medical Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1019618) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shasta Critical Care Specialists Medical Clinic, Inc. was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.