REDBUD COMMUNITY HOSPITAL SURGEONS (NPI# 1811978463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811978463 |
| Entity Type | Organization |
| Organization Name | REDBUD COMMUNITY HOSPITAL SURGEONS |
| Practice Address |
15630 18th Avenue Clearlake CA 95422-6710 |
| Mailing Address |
Po Box 6710 Clearlake CA 95422-6710 |
| Practice Telephone | 7079955883 |
| Practice Fax Number | 7079950223 |
| Mailing Telephone | 7079955883 |
| Mailing Fax Number | 7079950223 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JENNIFER SWENSON (CFO) |
| Authorized Official Telephone | 7079955811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | CA | Allopathic & Osteopathic Physicians |
| Street Address |
15630 18TH AVENUE |
| City | CLEARLAKE |
| State | CA |
| Zip Code | 95422-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891217204 | Eric Jason Bell | Physician Assistant | 15630 18th Avenue, Clearlake, CA 95422 | 2017-07-07 |
| 1639151996 | Adventist Health Clearlake Hospital, Inc | Anesthesiology | 15630 18th Avenue, Clearlake, CA 95422-6710 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831729201 | Richard Charles Hammond | Counselor | 7000 B South Center Drive, Clearlake, CA 95422 | 2020-01-24 |
| 1609416437 | Junirose Thom | Behavioral Analyst | 4456 Manzanita Avenue Suite 2, Clearlake, CA 95422 | 2020-01-09 |
| 1649781360 | Lake County Office of Education | Local Education Agency (LEA) | 3350 Acacia St, Clearlake, CA 95422 | 2017-10-20 |
| 1083091326 | Noelle Menesini | Physician Assistant | 15230 Lake Shore Drive, Clearlake, CA 95422 | 2015-05-06 |
| 1861820979 | Lake County Office of Education | Local Education Agency (LEA) | 6945 Old Highway 53, Clearlake, CA 95422 | 2013-10-29 |
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1366710279 | Nancy Bylund | Licensed Psychiatric Technician | 7000b South Center Drive, Clearlake, CA 95422 | 2011-12-06 |
| 1699060830 | Planned Parenthood Shasta Pacific | Clinic/Center | 1437 Olympic Drive, Cleaklake, CA 95422 | 2011-06-16 |
| 1164655247 | Hector Lara | Counselor | 14130 Lakeshore Dr., Clearlake, CA 95422 | 2009-08-24 |
| 1518197607 | Vishal V Desai | Pharmacist | 15025, Olympic Drive, Clearlake, CA 95422 | 2009-07-23 |
| Find all providers in zip 95422 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124469838 | Hassan Sheikh Moghaddas | Surgery | 15332 Lakeshore Dr Ste 101, Clearlake, CA 95422 | 2013-07-10 |
| 1760871230 | Adventist Health Physicians Network | Surgery | 15322 Lakeshore Dr, Suite 101, Clearlake, CA 95422-9814 | 2015-01-21 |
| 1952319030 | Arthur William Bikangaga | Surgery | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344321 | Sadeghi Medical Corporation | Surgery | 3871 Piedmont Ave # 105, Oakland, CA 94611-5378 | 2020-10-21 |
| 1295332823 | Vneo Medical Clinic Inc | Surgery | 6817 1/2 Kester Ave, Van Nuys, CA 91405-3716 | 2020-10-06 |
| 1619584497 | Prohealth Partners A Medical Group | Surgery | 3628 E Imperial Hwy Ste 303, Lynwood, CA 90262-2646 | 2020-09-25 |
| 1235744004 | Yvette Speight Md Inc | Surgery | 433 N Doheny Dr, Beverly Hills, CA 90210-5734 | 2020-09-09 |
| 1538786900 | Tdwo Inc | Surgery | 57445 29 Palms Hwy Ste 301, Yucca Valley, CA 92284-2947 | 2020-07-01 |
| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
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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.