Healthcare Provider Details

I. General information

NPI: 1891616280
Provider Name (Legal Business Name): COMMUNITY MEDICAL SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 MONTGOMERY BLVD NE STE B
ALBUQUERQUE NM
87109-1425
US

IV. Provider business mailing address

457 KNOLLCREST DR STE 120
REDDING CA
96002-0121
US

V. Phone/Fax

Practice location:
  • Phone: 505-305-7005
  • Fax: 505-305-7445
Mailing address:
  • Phone: 530-392-4399
  • Fax: 530-903-4226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ORNELLA ADDONIZIO
Title or Position: OWNER
Credential: MD
Phone: 530-392-4399