DR. SHRUTI AGGARWAL (NPI# 1902003734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902003734 |
| Entity Type | Individual |
| Full Name | DR. SHRUTI AGGARWAL |
| Credential | MBBS |
| Practice Address |
2450 Sister Mary Columba Dr Red Bluff CA 96080-4356 |
| Practice Telephone | 5305270414 |
| Mailing Telephone | 5305270414 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2017-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60299764 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518372853 | Shruti Aggarwal | Ophthalmology | 1209 York Rd, Lutherville, MD 21093-6220 | 2014-06-25 |
| Street Address |
2450 SISTER MARY COLUMBA DR |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659352219 | Derrick Hendricks Adams | Dermatology | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2005-11-10 |
| 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 |
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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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356476196 | Brian Lair | Family Medicine | 2540 Sr. Mary Columba Dr., Red Bluff, CA 96080-4356 | 2007-02-22 |
| 1285643767 | Kuersten Medical Corp. | Family Medicine | 658 Washington St, Red Bluff, CA 96080-3321 | 2006-08-05 |
| 1427078393 | Michael Chad Kingsley | Family Medicine | 2440 Sister Mary Columba Dr, Ste 300, Red Bluff, CA 96080-4356 | 2006-07-20 |
| 1154313005 | Katherine S Herring | Family Medicine | 2450 Sister Mary Columba Dr Ste B, Red Bluff, CA 96080-4356 | 2005-08-17 |
| 1306842232 | Jon Daniel Malan | Family Medicine | 1850 Walnut St, Red Bluff, CA 96080 | 2005-06-24 |
| 1396265245 | George Douglas Winter | Family Medicine | 2550 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2017-06-21 |
| 1205218153 | Heshani W Abeysundara | Family Medicine | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2015-06-26 |
| 1952615098 | Meghan C Leininger | Family Medicine | 2430 Sister Mary Columba Dr, Red Bluff, CA 96080 | 2010-07-30 |
| 1194955930 | Sarah Margaret Brant | Family Medicine | 2526 Sister Mary Columba Dr Fl 1, Red Bluff, CA 96080-4327 | 2009-07-14 |
| 1457576399 | Geraldine Villapena | Family Medicine | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2007-04-16 |
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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.