SHASTA COMMUNITY HEALTH CENTER URGENT CARE
NPI 1356815542
Clinic/Center - Federally Qualified Health Center (FQHC) in Redding, CA

Active since January 22, 2019
980 PLACER ST, REDDING, CA 96001(530) 246-5930 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 28, 2019, Jan 22, 2019 (2 updates tracked since 2019).

About Shasta Community Health Center Urgent Care NPPES

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

SHASTA COMMUNITY HEALTH CENTER URGENT CARE (NPI 1356815542) is a healthcare organization registered as a federally qualified health center (fqhc) in Redding, California and active in the NPI registry since January 2019. The organization lists Jeffery Brandon Thornock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356815542
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSHASTA COMMUNITY HEALTH CENTER
Location Address980 PLACER STRedding, CA 96001-1126
Mailing AddressPo Box 992790Redding, CA 96099-2790
Organization SubpartNo
Authorized OfficialJeffery Brandon ThornockCeo · (530) 246-5710
Enumeration DateJanuary 22, 2019
Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
✔ NPI 1356815542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedSpecialistTaxonomy 174400000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPodiatristTaxonomy 213E00000X
980 PLACER ST, Redding, CA 96001

Other Names 1

Doing Business AsShasta Community Health Center Urgent Care

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shasta Community Health Center Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040629000721Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

143

Medicare enrollment records show 143 clinicians reassign Medicare billing to Shasta Community Health Center Urgent Care, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 98 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner46
Family Practice44
Dentist8
Clinical Social Worker7
Marriage and Family Therapist5
Pediatric Medicine5
Chiropractic4
Psychiatry3
16 other specialties21

Nearest to this location (20)

See all 143
Clinical Social Worker
NPI 1376702282
980 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578991337
980 PLACER ST
Redding, CA 96001
(530) 246-5705
✔ PECOSSame address
Nurse Practitioner
NPI 1912569708
1000 PLACER ST
Redding, CA 96001
(530) 229-5101
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1003836982
1035 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1023225521
1035 PLACER STREET
Redding, CA 96001
(530) 246-5721
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1881735728
1035 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1043332521
1035 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ PECOS0.1 mi
Emergency Medicine
NPI 1407840895
1035 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ PECOS0.1 mi
Marriage and Family Therapist
NPI 1598867459
1035 PLACER ST
Redding, CA 96001
(530) 229-5064
✔ PECOS✔ Accepts Medicare0.1 mi
Osteopathic Manipulative Medicine
NPI 1801477062
1035 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1861514531
1035 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1386670040
1035 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ PECOS0.1 mi
Registered Dietitian or Nutrition Professional
NPI 1679381370
1035 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ Accepts Medicare0.1 mi
Preventive Medicine
NPI 1619039716
1035 PLACER ST EIS
Redding, CA 96001
(530) 246-5764
✔ PECOS✔ Accepts Medicare0.1 mi
Chiropractic
NPI 1083606578
1756 CONTINENTAL ST
Redding, CA 96001
(530) 244-4772
0.1 mi
General Surgery
NPI 1003837543
1555 EAST ST SUITE 200
Redding, CA 96001
(530) 246-7400
✔ PECOS✔ Accepts Medicare0.1 mi
Endocrinology
NPI 1831266345
1555 EAST ST SUITE 300
Redding, CA 96001
(530) 229-1844
✔ PECOS✔ Accepts Medicare0.2 mi
Hospice/Palliative Care
NPI 1841372802
1100 BUTTE ST
Redding, CA 96001
(530) 949-2259
✔ PECOS✔ Accepts Medicare0.2 mi
Anesthesiology
NPI 1851461248
1158 N COURT ST
Redding, CA 96001
(530) 343-4757
✔ PECOS✔ Accepts Medicare0.7 mi
Infectious Disease
NPI 1679852909
2175 ROSALINE AVE
Redding, CA 96001
(530) 225-6000
✔ PECOS✔ Accepts Medicare1.0 mi
See all 143 clinicians

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 Shasta Community Health Center's NPI number?

The NPI number for Shasta Community Health Center is 1356815542. It was assigned to this organization in the NPPES registry on January 22, 2019. The provider is doing business as Shasta Community Health Center Urgent Care.

Where is Shasta Community Health Center located?

Shasta Community Health Center is located at 980 Placer St, Redding, CA 96001. The listed phone number is (530) 246-5930.

What is Shasta Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Shasta Community Health Center enrolled in Medicare?

Yes. Shasta Community Health Center is registered in the Medicare PECOS enrollment system.

When is Shasta Community Health Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Shasta Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 143 clinicians in 24 Medicare specialties reassign their Medicare billing to Shasta Community Health Center. 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. The largest specialties are Nurse Practitioner (46), Family Practice (44) and Dentist (8). Of these, 3 practice at this address and 98 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shasta Community Health Center was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.