DO
DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
REDDING, CA
Licensed since
2014
Rate
—
Federal identifiers
NPI registry number1396165353
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
RevalidationDue 2024-08-31
Authorized official
NameTIMOTHY BOUSEMAN
TitleADMINISTRATOR
Phone5302243429
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Source: NPI Registry · Last refreshed June 24, 2026