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Deactivated NPI 1114169075 Deactivated / Inactive NPI Male Practitioner

Charles Manning

Driver • Redding, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Manning has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 24, 2009
NPI Deactivation Date March 01, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

Charles Manning was a registered Driver practicing in Redding, CA. Throughout an active medical career spanning 14 years, Charles Manning provided care at the practice location at 2640 BRESLAUER WAY until profile deactivation on 2023-03-01.

Practice Location & Contact Primary Location

Practice Address

2640 Breslauer Way

Redding, CA 960014246

Telephone 5302255200
Associated Practice Facility / Clinic
🏢 County Of Shasta Facility NPI 1881692390

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Redding, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Redding, CA (785 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dale Burlingame

Case Manager/Care Coordinator

NPI 1003181082
Rachelle Latter

Case Manager/Care Coordinator

NPI 1003389545
Edward Plaza

Interpreter

NPI 1023258407
Keisha Parrick

Day Training/Habilitation Specialist

NPI 1023666849
Veronica Miller

Case Manager/Care Coordinator

NPI 1023726197
Elaine Johnson , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1033253125

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 01, 2023

Record deactivated on March 01, 2023

NPI Profile Active March 24, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2009

Registered at 2640 BRESLAUER WAY, REDDING, CA 960014246 (Tel: 5302255200)

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Updated Business Mailing Address March 24, 2009

Registered at 2640 BRESLAUER WAY, REDDING, CA 960014246 (Tel: 5302255200)

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Provider Name / Credentials Updated March 24, 2009

Recorded as CHARLES MANNING

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2009

Driver

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Initial NPI Registration & Enumeration March 24, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114169075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2009
Last Update: March 24, 2009
Deactivation Date: March 01, 2023

Mailing Address

2640 Breslauer Way

Redding, CA 960014246

Phone: 5302255200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.