TAI CHINNOCK MOSES (NPI# 1306474135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306474135 |
| Entity Type | Individual |
| Full Name | TAI CHINNOCK MOSES |
| Credential | PA-C |
| Practice Address |
1100 Butte St Redding CA 96001-0852 |
| Practice Telephone | 5302445400 |
| Mailing Telephone | 5302445400 |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
58497 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1100 BUTTE ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073580577 | Pavan K Davuluri | Anesthesiology | 1100 Butte St, Redding, CA 96001 | 2006-03-02 |
| 1487255816 | Jessica Ann Kandybe | Registered Nurse | 1100 Butte St, Redding, CA 96001-0852 | 2020-11-03 |
| 1073150025 | Carl Evan Bennett | Nurse Practitioner | 1100 Butte St, Redding, CA 96001-0852 | 2019-12-09 |
| 1427604636 | Maria C Morales | Nurse Practitioner | 1100 Butte St, Redding, CA 96001-0852 | 2019-08-13 |
| 1962982165 | Eric Lee Svendsen | Physician Assistant | 1100 Butte St, Redding, CA 96001 | 2018-08-16 |
| 1174017214 | Far Northern Anesthesia Consultants | Anesthesiology | 1100 Butte St, Redding, CA 96001 | 2018-06-21 |
| 1629583018 | Clear Creek Medical Corp | Family Medicine | 1100 Butte St, Redding, CA 96001-0852 | 2017-12-06 |
| 1457879009 | Noah Chutz | Physician Assistant | 1100 Butte St, Redding, CA 96001 | 2017-09-05 |
| 1679007140 | Shasta Regional Emergency Medical Associates, Inc | Emergency Medicine | 1100 Butte St, Redding, CA 96001-0852 | 2017-04-12 |
| 1285185397 | Zachary Periharos | Physician Assistant | 1100 Butte St, Redding, CA 96001-0852 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356972756 | Mobile One Urgent Care Physician Assistant Owned Apc | Physician Assistant | 3904 Rainier Dr, Redding, CA 96001-5914 | 2020-02-04 |
| 1538307970 | Hanh D Cline | Physician Assistant | 2420 Sonoma Street, Redding, CA 96001 | 2009-01-22 |
| 1871552828 | Cathy L. Ochs | Physician Assistant | 1647 Hartnell Ave Ste 6, Redding, CA 96002-2268 | 2006-03-20 |
| 1861960213 | Carri Ann Decarlo | Physician Assistant | 1742 Oregon St, Redding, CA 96001-1717 | 2018-11-04 |
| 1235580986 | Nicholas Cole | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2016-06-23 |
| 1962891036 | Kristen Anderson | Physician Assistant | 1035 Placer St, Suite 330, Redding, CA 96001-1125 | 2015-01-13 |
| 1447536933 | Marisa Taylor Mackenzie | Physician Assistant | 1255 Liberty St, Redding, CA 96001-0814 | 2011-10-27 |
| 1336428283 | Aaron Stinnett Englebright | Physician Assistant | 1555 East St, Suite 100, Redding, CA 96001-1153 | 2011-08-10 |
| 1609154517 | Trisha J Fagan | Physician Assistant | 1255 Liberty St, Redding, CA 96001-0814 | 2011-07-26 |
| 1942522495 | Sarah L Planchard | Physician Assistant | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2010-02-25 |
| Find all providers in REDDING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.