DIGNITY HEALTH MERCY ONCOLOGY CENTER
NPI 1336588870
Clinic/Center - Oncology in Redding, CA

NPI Status: Active since June 18, 2013

Contact Information

310 HARTNELL AVE
REDDING, CA
ZIP 96002
Phone: (530) 225-6000

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  • Organization
  • Clinic/Center
  • Oncology
  • CLIA Number: 05D0720018
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 11-25-2026

About DIGNITY HEALTH MERCY ONCOLOGY CENTER

This page provides the complete NPI Profile along with additional information for Dignity Health Mercy Oncology Center, a provider established in Redding, California operating as a Clinic/center, focusing in oncology . The healthcare provider is registered in the NPI registry with number 1336588870 assigned on June 2013. The practitioner's primary taxonomy code is 261QX0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Dignity Health Mercy Oncology Center. The authorized official of this NPI record is Kim Miranda (Chief Financial Officer)

NPI
1336588870
Provider Legal Name
DIGNITY HEALTH
Other Organization Name
DIGNITY HEALTH MERCY ONCOLOGY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
310 HARTNELL AVE REDDING, CA 96002
Location Phone
(530) 225-6000
Mailing Address
3400 DATA DR 1ST FLOOR RANCHO CORDOVA, CA 95670
Mailing Phone
(530) 225-6300
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-18-2013
Last Update Date
09-07-2022
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Location Map

Secondary Locations

  • 2620 Edith Ave
    Redding, CA 96001
    (530) 225-6000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Oncology

Taxonomy Code
261QX0200X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
2261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM MIRANDA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(530) 225-6121

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0720018
Facility Type
Community Clinic
Certificate Effective Date
November 26, 2024
Certificate Expiration Date
November 25, 2026
Laboratory Director
DR. MATTHEW KILPATRICK
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Dignity Health Mercy Oncology Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336588870
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236610816814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 0 + 8 + 1 + 6 + 8 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336588870 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033180682 VICKI J PHILBEN M.D.
Individual
Surgery (Surgical Oncology)310 HARTNELL AVE
REDDING, CA 96002
(530) 244-2223
1558316042 MICHAEL L. FIGUEROA M.D
Individual
Internal Medicine (Medical Oncology)310 HARTNELL AVE
REDDING, CA 96002
(530) 244-2223
1356380554 CAROLYN COLLINS MD
Individual
Internal Medicine (Medical Oncology)310 HARTNELL AVE
REDDING, CA 96002
(530) 244-2223
1609808856 SHIRISH A MAHAJAN MD
Individual
Internal Medicine (Hematology & Oncology)310 HARTNELL AVE
REDDING, CA 96002
(530) 244-2223
1629237011CANCER CARE PLUS
Organization
Specialist310 HARTNELL AVE
REDDING, CA 96002
(530) 244-2223
1518065770MS. JUDITH MARIE NEILIO
Individual
Nurse Practitioner (Family)310 HARTNELL AVE
REDDING, CA 96002
(530) 244-2223
1427070671DR. SHARON PEREIRA-MATSUMOTO MD
Individual
Radiology (Radiation Oncology)310 HARTNELL AVE
REDDING, CA 96002
(530) 224-2223
1295919504 BRANDON M PENN D.O.
Individual
Internal Medicine310 HARTNELL AVE
REDDING, CA 96002
(530) 244-2223
1104109750 CHRISTOPHER S. HANCOCK FNP
Individual
Nurse Practitioner (Family)310 HARTNELL AVE
REDDING, CA 96002
(530) 244-2223
1659387132 DYANESH BAPU G RAVINDRAN M.D
Individual
Internal Medicine (Hematology & Oncology)310 HARTNELL AVE
REDDING, CA 96002
(530) 245-2900
1851920409 BRADLEY SACKFIELD
Individual
Internal Medicine (Medical Oncology)310 HARTNELL AVE
REDDING, CA 96002
(530) 245-2900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336588870, enumerated in the NPI registry as an "organization" on June 18, 2013

The provider is located at 310 Hartnell Ave Redding, Ca 96002 and the phone number is (530) 225-6000

This medical organization specializes in Clinic/Center with taxonomy code 261QX0200X with a focus in Oncology

The provider's CLIA number is 05D0720018 for a "community clinic" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on June 18, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.