Provider Demographics
NPI:1023213923
Name:CRISIS PREGNANCY CENTER OF NORTHERN CALIFORNIA
Entity Type:Organization
Organization Name:CRISIS PREGNANCY CENTER OF NORTHERN CALIFORNIA
Other - Org Name:CARENET PREGNANCY CENTER & MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-547-3717
Mailing Address - Street 1:2460 ATHENS AVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-2815
Mailing Address - Country:US
Mailing Address - Phone:530-246-7075
Mailing Address - Fax:530-246-0125
Practice Address - Street 1:2460 ATHENS AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2815
Practice Address - Country:US
Practice Address - Phone:530-246-7075
Practice Address - Fax:530-246-0125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23000347207V00000X, 2085U0001X, 251V00000X, 261QC1500X, 291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Not Answered2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Not Answered251V00000XAgenciesVoluntary or Charitable
Not Answered261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Not Answered291U00000XLaboratoriesClinical Medical Laboratory