Healthcare Provider Details

I. General information

NPI: 1871767673
Provider Name (Legal Business Name): NATHAN ROSS EHMER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 AIRPARK DR STE 301
REDDING CA
96001-2462
US

IV. Provider business mailing address

3400 DATA DR
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 530-242-3500
  • Fax: 530-242-3546
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number20A 10366
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: