REDDING RANCHERIA
NPI 1780423244
Clinic/Center - Federally Qualified Health Center (FQHC) in Redding, CA

Active since May 23, 2024CLIA 05D2308919 · Microscopy
3305 PLACER STREET SUITE B, REDDING, CA 96001(530) 225-6805(530) 262-6592 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Redding Rancheria NPPES

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

REDDING RANCHERIA (NPI 1780423244), doing business as Redding Rancheria Center For Advanced Care, is a healthcare organization registered as a federally qualified health center (fqhc) in Redding, California and active in the NPI registry since May 2024. The organization holds a CLIA Microscopy certificate valid through August 5, 2028 and lists Tamra Dawn Olson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780423244
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameREDDING RANCHERIA
Location Address3305 PLACER STREET SUITE BRedding, CA 96001
Mailing Address1441 Liberty StreetRedding, CA 96001 · (530) 224-2700 · Fax (530) 224-2738
Fax(530) 262-6592
Organization SubpartNo
Authorized OfficialTamra Dawn OlsonAdministrator · (530) 242-4523
Enumeration DateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1780423244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
3305 PLACER STREET SUITE B, Redding, CA 96001

Other Names 1

Doing Business AsRedding Rancheria Center For Advanced Care

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)

Redding Rancheria is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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 IDO20040810001377Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

54

Medicare enrollment records show 54 clinicians reassign Medicare billing to Redding Rancheria, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 39 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner13
Family Practice12
Clinical Social Worker10
Marriage and Family Therapist5
Anesthesiology2
Emergency Medicine2
Clinical Psychologist1
Endocrinology1
8 other specialties8

Nearest to this location (20)

See all 54
Psychiatry
NPI 1952808149
3305 PLACER ST STE B
Redding, CA 96001
(530) 225-6805
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1609266071
2111 AIRPARK DR
Redding, CA 96001
(530) 247-3733
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1093250862
2420 SONOMA ST
Redding, CA 96001
(530) 999-2533
✔ PECOS✔ Accepts Medicare0.7 mi
Neurology
NPI 1124046776
2420 SONOMA ST
Redding, CA 96001
(530) 999-2533
✔ PECOS✔ Accepts Medicare0.7 mi
Interventional Cardiology
NPI 1649230988
2425 SONOMA STREET
Redding, CA 96001
(530) 241-1144
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1831445949
1755 COURT ST
Redding, CA 96001
(302) 478-8005
✔ PECOS1.1 mi
Clinical Psychologist
NPI 1023151065
1650 OREGON ST STE 209
Redding, CA 96001
(530) 435-6092
✔ PECOS✔ Accepts Medicare1.2 mi
Marriage and Family Therapist
NPI 1235663006
1650 OREGON ST STE 111
Redding, CA 96001
(530) 962-0307
✔ PECOS1.2 mi
Marriage and Family Therapist
NPI 1770009102
1116 PINE ST
Redding, CA 96001
(530) 782-2248
✔ PECOS1.5 mi
Nurse Practitioner
NPI 1194234104
1355 EAST ST STE 200
Redding, CA 96001
(530) 604-4325
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1639195837
1035 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ PECOS✔ Accepts Medicare1.6 mi
Family Practice
NPI 1265443972
1035 PLACER ST
Redding, CA 96001
(530) 246-5710
✔ PECOS1.6 mi
Nurse Practitioner
NPI 1255877957
1441 LIBERTY ST
Redding, CA 96001
(530) 226-1726
✔ PECOS1.6 mi
Clinical Social Worker
NPI 1699291591
1441 LIBERTY ST
Redding, CA 96001
(530) 224-2700
✔ PECOS✔ Accepts Medicare1.6 mi
Marriage and Family Therapist
NPI 1356726756
1441 LIBERTY ST
Redding, CA 96001
(305) 224-2700
✔ PECOS✔ Accepts Medicare1.6 mi
Endocrinology
NPI 1679006811
1441 LIBERTY ST
Redding, CA 96001
(530) 224-2700
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1417522145
1441 LIBERTY ST
Redding, CA 96001
(530) 224-2700
✔ PECOS1.6 mi
Clinical Social Worker
NPI 1992932065
1441 LIBERTY ST
Redding, CA 96001
(530) 224-2700
✔ PECOS✔ Accepts Medicare1.6 mi
Podiatry
NPI 1689106882
1255 LIBERTY ST
Redding, CA 96001
(530) 246-2467
✔ PECOS✔ Accepts Medicare1.7 mi
Clinical Social Worker
NPI 1932517455
2295 HILLTOP DR STE 3
Redding, CA 96002
(530) 355-8496
✔ PECOS✔ Accepts Medicare3.0 mi
See all 54 clinicians

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

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) 05D2308919

Redding Rancheria Center For Advanced Care · Redding, CA
Active · expires Aug 5, 2028
CLIA Number05D2308919
Laboratory TypeHealth Main. Organization
Certificate Effective DateAugust 6, 2026
Certificate Expiration DateAugust 5, 2028
Laboratory DirectorPaul R. Davis
Laboratory Phone(530) 225-6805
Laboratory LocationRedding Rancheria Center For Advanced Care3305 Placer St Ste B, 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.

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 Rancheria's NPI number?

The NPI number for Redding Rancheria is 1780423244. It was assigned to this organization in the NPPES registry on May 23, 2024. The provider is doing business as Redding Rancheria Center for Advanced Care.

Where is Redding Rancheria located?

Redding Rancheria is located at 3305 Placer Street Suite B, Redding, CA 96001. The listed phone number is (530) 225-6805.

What is Redding Rancheria's specialty?

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

Is Redding Rancheria enrolled in Medicare?

Yes. Redding Rancheria is registered in the Medicare PECOS enrollment system.

When is Redding Rancheria'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 March 31, 2027. 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 Redding Rancheria?

According to the CMS Revalidation Reassignment List (October 2026 release), 54 clinicians in 16 Medicare specialties reassign their Medicare billing to Redding Rancheria. 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 (13), Family Practice (12) and Clinical Social Worker (10). Of these, 1 practice at this address and 39 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Redding Rancheria hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2308919) is associated with this NPI, valid through August 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Redding Rancheria was last updated on May 23, 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.