Healthcare Provider Details

I. General information

NPI: 1649160508
Provider Name (Legal Business Name): GENERATIONS URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4861 BECHELLI LANE SUITE 500
REDDING CA
96002
US

IV. Provider business mailing address

4861 BECHELLI LANE SUITE 500
REDDING CA
96002
US

V. Phone/Fax

Practice location:
  • Phone: 484-678-9318
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TRISTAN SIMMONS
Title or Position: OWNER
Credential: DO
Phone: 530-276-8407