Department of Veterans Affairs of the State of California
NPI 1396165353 · Skilled Nursing Facility · Redding, CA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Department of Veterans Affairs of the State of California is a Skilled Nursing Facility organization in Redding, CA (NPI 1396165353).
Provider details
- NPI number
- 1396165353
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Bouseman, Administrator(530) 224-3300
- License
- 455002486 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- Veterans Home of California - Redding
Registry dates
- Enumerated
- 2014-04-17
- Last updated
- 2016-07-11
Frequently asked questions
- What is Department of Veterans Affairs of the State of California's NPI number?
- Department of Veterans Affairs of the State of California's National Provider Identifier (NPI) is 1396165353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Department of Veterans Affairs of the State of California?
- Department of Veterans Affairs of the State of California is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Department of Veterans Affairs of the State of California located?
- Department of Veterans Affairs of the State of California's practice location on file with NPPES is 3400 Knighton Rd, Redding, CA 96002-9498.
- What is Department of Veterans Affairs of the State of California's phone number?
- The practice phone number listed in the NPPES registry for Department of Veterans Affairs of the State of California is (530) 224-3429.
- Does Department of Veterans Affairs of the State of California accept Medicare?
- Department of Veterans Affairs of the State of California 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 Department of Veterans Affairs of the State of California?
- The authorized official listed on Department of Veterans Affairs of the State of California's NPPES record is Timothy Bouseman, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Department of Veterans Affairs of the State of California's NPI active?
- Yes — Department of Veterans Affairs of the State of California's NPI (1396165353) is active in the NPPES registry as of the last update on 2016-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.