# SHASTA ORTHOPEDICS & SPORTS MEDICINE A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shasta Orthopaedics and Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750493979
- **Authorized official:** PAUL E SCHWARTZ MD (PRESIDENT)
- **Authorized official phone:** (530) 246-2467

## Contact information

- **Practice address:** 1255 LIBERTY STREET, REDDING, CA 96001-0814
- **Practice address phone:** (530) 246-2467
- **Practice address fax:** (530) 242-9460
- **Mailing address:** PO BOX 991950, REDDING, CA 96099-1950
- **Mailing address phone:** (530) 246-2467
- **Mailing address fax:** (530) 242-9460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | — | CA | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | CA | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | CA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | CA | — |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 12/09/2022