Healthcare Provider Details

I. General information

NPI: 1023213923
Provider Name (Legal Business Name): CRISIS PREGNANCY CENTER OF NORTHERN CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 ATHENS AVE
REDDING CA
96001-2815
US

IV. Provider business mailing address

2460 ATHENS AVE
REDDING CA
96001-2815
US

V. Phone/Fax

Practice location:
  • Phone: 530-246-7075
  • Fax: 530-246-0125
Mailing address:
  • Phone: 530-246-7075
  • Fax: 530-246-0125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number23000347
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number23000347
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number23000347
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number23000347
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number23000347
License Number StateCA

VIII. Authorized Official

Name: MR. BRYAN ERICKSON
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 530-547-3717