CALISTA MAE VINYARD – Family Medicine Physician, NPI 1124589197

CALISTA MAE VINYARD is a healthcare provider. based in Redding, California. specializing in FAMILY PRACTICE. They hold a License No. 20A20042 (CA). The NPI Number for CALISTA MAE VINYARD is 1124589197

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CALISTA MAE VINYARD
NPI
1124589197
Phone
(408) 512-7285
Address
280 IRONWOOD LN
Enumeration Date
30 March 2019
Last Update Date
19 June 2023

Doctor Profile

Medical School Name
COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Secondary Phone
5303780486
Graduation Year
2019 (7 years ago)
PAC ID
9830509991
Group Practice PAC ID
3870579816
Professional Enrollment ID
I20231004000778
Address ID
CA960073481AN2965XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for CALISTA MAE VINYARD

  • 280 IRONWOOD LN

    REDDING, CA 960035345

    Phone: (408) 512-7285

    Type: Mailing

  • 1401 GOLD ST

    REDDING, CA 960011958

    Phone: (408) 512-7285

    Type: Location

  • 868, Puget Sound Way, Berryessa, San Jose, Santa Clara County, California, 95133, United States

    SAN JOSE, CA 951331533

    Phone: (408) 512-7285

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $483.

Total Amount is formed as General ($483) + Research ($0) + Ownership ($0) = $483.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Indivior Inc. ($267).

Total Amount

$483

General + Research + Ownership

Payments

23

Total payment records

General Amount

$483

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231004000778IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
80305Testing for presence of drug, read by direct observation10451$0
83036Hemoglobin a1c level3631$0
View full utilization report →

Insurance plans in this area (ZIP 96003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870579816View full group profile
NameSpecialtyState
Clinical Social WorkerCA
Family PracticeCA
Family PracticeCA
Family PracticeCA
Marriage And Family TherapistCA
Family PracticeCA
-CA
General PracticeCA
Family Practice, Emergency MedicineCA
Family PracticeCA

Reviews

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Frequently asked questions

What is the standard ID for CALISTA MAE VINYARD in the U.S.?
In the U.S., CALISTA MAE VINYARD is identified by NPI 1124589197.
Should I treat CALISTA MAE VINYARD as an active provider?
Patients and plans typically see CALISTA MAE VINYARD as active in the national extract.
Which specialty label fits CALISTA MAE VINYARD?
NPPES ties CALISTA MAE VINYARD to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to CALISTA MAE VINYARD?
CALISTA MAE VINYARD shows a connection to Redding, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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