Redding Rancheria
Redding Rancheria is a healthcare organization registered as Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Redding, CA, holding Type 2 (organization) NPI 1528102282 since 2007. The authorized official on file is Glen Hayward, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1528102282 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Redding Rancheria |
| Other name | <Unavail> |
| Practice address | 1441 LIBERTY ST, Redding, CA, 96001 |
| Phone | 5302242700 |
| Fax | 5302242726 |
| Enumeration date | 2007-02-16 |
| Last updated in NPPES | 2021-09-21 |
Authorized official
| Name | Glen Hayward |
|---|---|
| Title | Executive Director |
| Phone | 5302261737 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0002X | Clinic Pharmacy | Secondary | — | — |
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Primary | PHE38097 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2094126 | Other | — | PK |
| PHA380970 | Medicaid | CA | — |
Copy-ready billing details
Provider: Redding Rancheria NPI: 1528102282 Taxonomy: 332800000X (Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy) Address: 1441 LIBERTY ST, Redding, CA, 96001
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104859354 | Redding Rancheria | Organization | Federally Qualified Health Center (FQHC) | Redding, CA |
| 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 |
| 1316067622 | Carlota Nepomuceno | Individual | Family Medicine Physician | Redding, CA |
Verify this record
Cross-check NPI 1528102282 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 2026-07-10. Provider record last updated 2021-09-21.