Redding Dermatology Medical Group, Inc.
NPI 1336979046ActiveOrganization· Dermatology· Medford, OR
Dermatology in Medford, Oregon, registered in NPPES in August 2024. The authorized official on file is Kristina Hernandez, Billing Coordinator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336979046 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 6, 2024 |
| Last updated in NPPES | Aug 27, 2025 |
| Certified by provider | Aug 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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