Redding Dermatology Medical Group, Inc.
NPI 1336979046 · Dermatology Physician · Medford, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Redding Dermatology Medical Group, Inc. is a Dermatology Physician organization in Medford, OR (NPI 1336979046).
Provider details
- NPI number
- 1336979046
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristina Hernandez, Billing Coordinator(530) 241-1111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ck Derm - Medford
- Doing business as
- Ck Derm - Medford
Registry dates
- Enumerated
- 2024-08-06
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Frequently asked questions
- What is Redding Dermatology Medical Group, Inc.'s NPI number?
- Redding Dermatology Medical Group, Inc.'s National Provider Identifier (NPI) is 1336979046, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Redding Dermatology Medical Group, Inc.?
- Redding Dermatology Medical Group, Inc. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Redding Dermatology Medical Group, Inc. located?
- Redding Dermatology Medical Group, Inc.'s practice location on file with NPPES is 2924 Siskiyou Blvd Ste 100, Medford, OR 97504-8194.
- What is Redding Dermatology Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Redding Dermatology Medical Group, Inc. is (541) 930-7777.
- Does Redding Dermatology Medical Group, Inc. accept Medicare?
- Redding Dermatology Medical Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Redding Dermatology Medical Group, Inc.?
- The authorized official listed on Redding Dermatology Medical Group, Inc.'s NPPES record is Kristina Hernandez, Billing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Redding Dermatology Medical Group, Inc.'s NPI active?
- Yes — Redding Dermatology Medical Group, Inc.'s NPI (1336979046) is active in the NPPES registry as of the last update on 2025-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.