MEDICARE: COMMUNITY MEDICAL SPECIALISTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1821973959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY MEDICAL SPECIALISTS INC

Provider Business Mailing Address
First Line	:	457 KNOLLCREST DR STE 120
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96002-0121
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 PARK LN STE 110
Second Line	:
City	:	MOORPARK
State	:	CA
Zip	:	93021-2116
Country	:	US
Telephone Number	:	805-372-2886
Fax Number	:	805-372-2876

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	ORNELLA ADDONIZIO
Credential	:	MD
Telephone Number	:	530-392-4399

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	08/07/2025

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Directions to “COMMUNITY MEDICAL SPECIALISTS INC ” Practice Location

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