REDDING DERMATOLOGY MEDICAL GROUP, INC.
NPI 1336979046
Dermatology in Medford, OR

Active since August 06, 2024
2924 SISKIYOU BLVD STE 100, MEDFORD, OR 97504(541) 930-7777(541) 816-4567 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Redding Dermatology Medical Group, Inc. NPPES

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

REDDING DERMATOLOGY MEDICAL GROUP, INC. (NPI 1336979046), doing business as Ck Derm - Medford, is a healthcare organization registered as a dermatology in Medford, Oregon and active in the NPI registry since August 2024. The organization lists Kristina Hernandez, Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1336979046
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameREDDING DERMATOLOGY MEDICAL GROUP, INC.
Location Address2924 SISKIYOU BLVD STE 100Medford, OR 97504-8194
Mailing Address2107 Airpark DrRedding, CA 96001-2433 · (530) 241-7098 · Fax (530) 241-1483
Fax(541) 816-4567
Organization SubpartNo
Authorized OfficialKristina HernandezBilling Coordinator · (530) 241-1111
Enumeration DateAugust 6, 2024
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1336979046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2924 SISKIYOU BLVD STE 100, Medford, OR 97504

Other Names 1

Doing Business AsCk Derm - Medford

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Redding Dermatology Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Redding Dermatology Medical Group, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1053300632
2107 AIRPARK DR
Redding, CA 96001
(530) 241-1111
✔ PECOS✔ Accepts Medicare122 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Redding Dermatology Medical Group, Inc.'s NPI number?

The NPI number for Redding Dermatology Medical Group, Inc. is 1336979046. It was assigned to this organization in the NPPES registry on August 6, 2024. The provider is doing business as CK Derm - Medford.

Where is Redding Dermatology Medical Group, Inc. located?

Redding Dermatology Medical Group, Inc. is located at 2924 Siskiyou Blvd Ste 100, Medford, OR 97504. The listed phone number is (541) 930-7777.

What is Redding Dermatology Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Redding Dermatology Medical Group, Inc. enrolled in Medicare?

Yes. Redding Dermatology Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Redding Dermatology Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Redding Dermatology Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Redding Dermatology Medical Group, Inc. was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.