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SHASTA COMMUNITY MEDICAL GROUP
NPI 1861626129
Surgery - Vascular Surgery in Redding, CA

Active since May 14, 2009
1555 EAST ST STE 210, REDDING, CA 96001(530) 244-8316 Get Directions Write a Review

NPPES record last updated: May 14, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shasta Community Medical Group NPPES

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

SHASTA COMMUNITY MEDICAL GROUP (NPI 1861626129) is a healthcare organization registered as a vascular surgery in Redding, California and active in the NPI registry since May 2009. The organization lists Venkamma Reddy, President, as its authorized official.

NPPES Registry Identity

NPI1861626129
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSHASTA REGIONAL MEDICAL GROUP INC
Location Address1555 EAST ST STE 210Redding, CA 96001-1153
Mailing Address16850 Bear Valley RdVictorville, CA 92395-5794 · (760) 241-8000 · Fax (760) 962-8021
Phone(530) 244-8316
Organization SubpartNo
Authorized OfficialVenkamma ReddyPresident · (760) 241-8000
Enumeration DateMay 14, 2009
✔ NPI 1861626129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in CA · 26633
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 26633 (CA)
1555 EAST ST STE 210, Redding, CA 96001
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Other Names 1

Doing Business AsShasta Community Medical Group

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

Other Providers at the Same Location NPPES 4

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

SHASTA MEADOWS WELLNESS CENTER
Psychiatry & Neurology (Psychiatry)
1555 EAST ST STE 210
REDDING, CA 96001
Shasta County (415) 713-6654
THRIVE MD, PC
Family Medicine
1555 EAST ST STE 210
REDDING, CA 96001
Shasta County (530) 215-3820
JAMES ROSS TAGGART M.D
Emergency Medicine
1555 EAST ST STE 210
REDDING, CA 96001
Shasta County (530) 215-3820
SHASTA MEADOWS WELLNESS CENTER
Psychiatry & Neurology (Psychiatry)
1555 EAST ST STE 210
REDDING, CA 96001
Shasta County (530) 215-3820

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 Regional Medical Group Inc's NPI number?

The NPI number for Shasta Regional Medical Group Inc is 1861626129. It was assigned to this organization in the NPPES registry on May 14, 2009. The provider is doing business as Shasta Community Medical Group.

Where is Shasta Regional Medical Group Inc located?

Shasta Regional Medical Group Inc is located at 1555 East St Ste 210, Redding, CA 96001. The listed phone number is (530) 244-8316.

What is Shasta Regional Medical Group Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Shasta Regional Medical Group Inc was last updated on May 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.