Redding Rancheria
Redding Rancheria is a healthcare organization registered as Federally Qualified Health Center (FQHC) in Redding, CA, holding Type 2 (organization) NPI 1104859354 since 2006. The authorized official on file is Lori Hernandez, Billing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104859354 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Redding Rancheria |
| Practice address | 1441 LIBERTY ST, Redding, CA, 96001 |
| Phone | 5302261753 |
| Fax | 5302242723 |
| Enumeration date | 2006-07-09 |
| Last updated in NPPES | 2021-09-21 |
Authorized official
| Name | Lori Hernandez |
|---|---|
| Title | Billing Manager |
| Phone | 5302261740 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QF0400X | Federally Qualified Health Center (FQHC) | Primary | 20A7013 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HAP70489F | Medicaid | CA | — |
| THP70489F | Medicaid | CA | — |
| BCP70489F | Medicaid | CA | — |
Copy-ready billing details
Provider: Redding Rancheria NPI: 1104859354 Taxonomy: 261QF0400X (Federally Qualified Health Center (FQHC)) Address: 1441 LIBERTY ST, Redding, CA, 96001
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487675674 | Kara Rogge | Individual | Clinical Social Worker | Redding, CA |
| 1609989532 | Paul Davis | Individual | Family Medicine Physician | Redding, CA |
| 1578664884 | Todd Gandy | Individual | General Practice Dentistry | Redding, CA |
| 1396809802 | Christine Mayerchak | Individual | Rehabilitation Counselor | Redding, CA |
| 1639211428 | Kate Ermenc | Individual | Physician Assistant | Redding, CA |
| 1356483119 | Ross Goodrich | Individual | Medical Physician Assistant | Redding, CA |
| 1528102282 | Redding Rancheria | Organization | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Redding, CA |
| 1316067622 | Carlota Nepomuceno | Individual | Family Medicine Physician | Redding, CA |
Verify this record
Cross-check NPI 1104859354 against the authoritative CMS record: view Redding Rancheria on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Redding Rancheria?
Who is the authorized official for Redding Rancheria?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-09-21.