Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Rickey Lee Southwell Jr., PA-C

Individual provider Physician Assistant · NPI 1952811051

Mr. Rickey Lee Southwell Jr., PA-C is a Physician Assistant in Redding, California. Qualified in 2017, 9 years ago. Practices with Native American Mental Health Services Corporation, a 63-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
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

1742 Oregon St
Redding, CA 96001-1717
Phone: (530) 646-7269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 S Main St, Red Bluff, CA 96080-4316 — (530) 999-2014

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 54920 (CA)

Record details

NPI number1952811051
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2017
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Native American Mental Health Services Corporation — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Redding