Provider Demographics
NPI:1659084101
Name:COMMUNITY MEDICAL SPECIALISTS INC
Entity Type:Organization
Organization Name:COMMUNITY MEDICAL SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ORNELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADDONIZIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-392-4399
Mailing Address - Street 1:457 KNOLLCREST DR STE 120
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0121
Mailing Address - Country:US
Mailing Address - Phone:530-392-4399
Mailing Address - Fax:
Practice Address - Street 1:415 KNOLLCREST DR STE 101
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0181
Practice Address - Country:US
Practice Address - Phone:530-392-4399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty