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CCMMA CA PC
NPI 1679293443
Anesthesiology - Critical Care Medicine in Redding, CA

Active since August 31, 2022
1100 BUTTE ST, REDDING, CA 96001(530) 244-5400(888) 220-6560 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Oct 18, 2022, Aug 31, 2022 (3 updates tracked since 2022).

About Ccmma Ca Pc NPPES

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

CCMMA CA PC (NPI 1679293443) is a healthcare organization registered as a critical care medicine in Redding, California and active in the NPI registry since August 2022. The organization maintains 9 additional practice locations and lists Laurie Laduca, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1679293443
Entity TypeOrganization
Primary Taxonomy207LC0200X
Legal Business NameCCMMA CA PC
Location Address1100 BUTTE STRedding, CA 96001-0852
Mailing AddressPo Box 631917Cincinnati, OH 45263-1917 · (845) 702-2711
Phone(530) 244-5400
Fax(888) 220-6560
Organization SubpartNo
Authorized OfficialLaurie LaducaCredentialing Manager · (845) 702-2711
Enumeration DateAugust 31, 2022
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1679293443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
Definition
An anesthesiologist, who specializes in critical care medicine 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 · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedSurgeryTaxonomy 208600000X
1100 BUTTE ST, Redding, CA 96001
Open in Google Maps ↗

Secondary Practice Locations 9

Location 1201 NW R D Mize RdBlue Springs, MO 64014-2513 · Phone (816) 228-5900 · Fax (888) 220-6560
Location 21749 Sonoma AveBerkeley, CA 94707-2547 · Phone (845) 702-2711 · Fax (888) 220-6560
Location 3120 N Delaware StSandusky, MI 48471-1009 · Phone (810) 648-3770 · Fax (888) 220-6560
Location 42 Park Ave Ste 2039New York, NY 10016-5675 · Phone (845) 702-2711
Location 5350 BoulevardPassaic, NJ 07055-2840 · Phone (973) 365-4300 · Fax (888) 220-6560
Location 6425 W 5th StEast Liverpool, OH 43920-2498 · Phone (330) 385-7200 · Fax (888) 220-6560
Location 7600 S Monroe StEnid, OK 73701-7211 · Phone (580) 233-2300 · Fax (888) 220-6560
Location 8129 N Washington StSumter, SC 29150-4949 · Phone (803) 774-9000 · Fax (888) 220-6560
Location 96565 Fannin StHouston, TX 77030-2703 · Phone (713) 790-3311 · Fax (888) 220-6560

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

ANDREW L KNAPP DO PC
General Practice
1100 BUTTE ST
REDDING, CA 96001
Shasta County (530) 243-0498
GREG A GREENBERG MD
Hospitalist
1100 BUTTE ST
REDDING, CA 96001
Shasta County (530) 227-6361
SHASTA REGIONAL MEDICAL CENTER, LLC
General Acute Care Hospital
1100 BUTTE ST, ATTENTION: PATIENT FINANCIAL SERVICES
REDDING, CA 96001
Shasta County (530) 722-1316
SHASTA HEART PARTNERS INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1100 BUTTE ST
REDDING, CA 96001
Shasta County (530) 230-8462
CARL EVAN BENNETT NP
Nurse Practitioner (Family)
1100 BUTTE ST
REDDING, CA 96001
Shasta County (530) 244-5400
PAVAN K DAVULURI MD
Anesthesiology
1100 BUTTE ST
REDDING, CA 96001
Shasta County (530) 241-0410
MARIE A JONES RD
Dietitian, Registered
1100 BUTTE ST
REDDING, CA 96001
Shasta County (530) 244-5115
ROBIN K. RASMUSSEN MD
Emergency Medicine
1100 BUTTE ST
REDDING, CA 96001
Shasta County (530) 244-5400

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 Ccmma Ca PC's NPI number?

The NPI number for Ccmma Ca PC is 1679293443. It was assigned to this organization in the NPPES registry on August 31, 2022.

Where is Ccmma Ca PC located?

Ccmma Ca PC is located at 1100 Butte St, Redding, CA 96001. The listed phone number is (530) 244-5400.

What is Ccmma Ca PC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

What insurance does Ccmma Ca PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Anthem Blue Cross and Blue Shield list Ccmma Ca PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ccmma Ca PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.