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

Alisa Vickrey, PA-C

Individual provider Physician Assistant · NPI 1134591621

Alisa Vickrey, PA-C is a Physician Assistant in Redding, California. Qualified in 2015, 11 years ago. Practices with Shasta Regional Medical Group Inc, a 34-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Alaska and California.

Years since qualifying
11
Licensed in
AK, CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1355 E St Ste 200
Redding, CA 96001-0801
Phone: (530) 605-4260
Fax: (707) 826-8638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 1st St Ste A, San Francisco, CA 94105-2661 — (888) 803-3370

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 56745 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 103678 (AK)

Record details

NPI number1134591621
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 23, 2015
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 4, 2025
Mailing address1355 East St Ste 200, Redding, CA 96001-0801

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Shasta Regional Medical Group Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Redding