Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shasta Regional Medical Group Inc

Organization Vascular Surgery Physician · NPI 1861626129

Shasta Regional Medical Group Inc is a Vascular Surgery Physician in Redding, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1555 E St Ste 210
Redding, CA 96001-1153
Phone: (530) 244-8316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 26633 (CA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 26633 (CA)

Record details

NPI number1861626129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Venkamma Reddy — President · (760) 241-8000
Other names Shasta Community Medical Group
NPI enumeratedMay 14, 2009
Last updated in NPPESMay 14, 2009
Mailing address16850 Bear Valley Rd, Victorville, CA 92395-5794

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