DERRICK HENDRICKS ADAMS (NPI# 1659352219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659352219 |
| Entity Type | Individual |
| Full Name | DERRICK HENDRICKS ADAMS |
| Practice Address |
2450 Sister Mary Columba Dr Red Bluff CA 96080-4356 |
| Practice Telephone | 5305270414 |
| Mailing Telephone | 5305270414 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 5101017524 | MI | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
20A8900 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM53955F | 05 | |
| CA | GR0089250 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447672217 | Derrick Adams | Specialist | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2014-01-14 |
| 1902031735 | Derrick Ryan Adams | Internal Medicine | 5301 S Congress Ave, Lake Worth, FL 33462-1149 | 2009-05-22 |
| Street Address |
2450 SISTER MARY COLUMBA DR |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962055236 | Joseph Eischen | Nurse Practitioner | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2019-07-16 |
| 1407348147 | Dignity Health | Clinical Medical Laboratory | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2018-05-30 |
| 1609387661 | Maura Thoenes Buckley | Physician Assistant | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2017-10-18 |
| 1871004044 | Robin E Pendleton | Nurse Practitioner | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2017-10-16 |
| 1255850640 | Margaret A Macdonald | Nurse Practitioner | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2017-09-17 |
| 1801317177 | Anna Elizabeth Lalaguna | Nurse Practitioner | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2017-06-27 |
| 1063949550 | Kate Ashley Ellis | Physician Assistant | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2017-05-16 |
| 1528501038 | Rebecca Ann Hutchinson | Physician Assistant | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2016-12-01 |
| 1407399678 | Dignity Health | Clinic/Center | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2016-11-21 |
| 1871047118 | Red Oaks Hospitalist Group, Inc. | General Acute Care Hospital | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2016-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
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| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
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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.