Provider Demographics
NPI:1730940024
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:
Mailing Address - Fax:
Practice Address - Street 1:4820 BUSINESS CENTER DR STE 110
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-1907
Practice Address - Country:US
Practice Address - Phone:707-703-5075
Practice Address - Fax:707-703-5075
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY MEDICAL SPECIALISTS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty