Covered Entity Details

STD96002 PLANNED PARENTHOOD SHASTA-DIABLO, INC. DBA PLANNED PARENTHOOD NORTHERN CALIFORNIA (Active) - information as of 6/6/2025 12:37:32 PM

Main Details

Name

PLANNED PARENTHOOD SHASTA-DIABLO, INC. DBA PLANNED PARENTHOOD NORTHERN CALIFORNIA

Subdivision Name

REDDING CENTER

Type

Sexually Transmitted Diseases

340B ID

STD96002

Grant Number

1H25PS005127

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
CT/GC PDPT program
1/1/2019 - 1/31/2026

Additional Details

Current Program Status

Active

Registration Date

4/14/2014

Participating Start Date

7/1/2014

Participating Approval Date

5/21/2014

Last Recertification Date

5/23/2025

Notice of Funding Opportunity (NOFO) Number

PS19-1901

Contacts

Authorizing Official

Planned Parenthood Shasta-Diablo Inc. DBA
Nathan Daniel Jensen, Purchasing Manager
(925) 887-5268

Primary Contact

Planned Parenthood Shasta Diablo, Inc.
Kariana Castanon-Hill, Procurement Specialist
(925) 887-5215

Addresses

Street Address

2935 BECHELLI LANE
SUITE C
REDDING, CA 96002

Billing Address

Planned Parenthood Northern California
2185 PACHECO ST.
CONCORD, CA 94520

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
CA	1407044175	1407044175

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Last Updated On
Contract Detail	ALTO PHARMACY LLC	DBA ALTO PHARMACY	2360 QUME DR STE A	SAN JOSE	CA	95131	10/15/2021	01/01/2022	01/01/2022
Contract Detail	ALTO PHARMACY, LLC	DBA ALTO PHARMACY	1400 TENNESSEE ST UNIT 2	SAN FRANCISCO	CA	94107-3421	10/15/2021	01/01/2022	01/01/2022
Contract Detail	CAREMARK FLORIDA SPECIALTY PHARMACY LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7930 WOODLAND CENTER BLVD STE 500	TAMPA	FL	33614	09/02/2022	09/12/2022	09/12/2022
Contract Detail	CAREMARK ILLINOIS SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	800 BIERMANN CT STE B	MOUNT PROSPECT	IL	60056	09/02/2022	09/12/2022	09/12/2022
Contract Detail	CAREMARK KANSAS SPECIALTY PHARMACY	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	11162 RENNER BLVD	LENEXA	KS	66219	09/02/2022	09/12/2022	09/12/2022
Contract Detail	CAREMARK MASSACHUSETTS SPECIALTY PHARMAC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	25 BIRCH STREET, BLDG B, SUITE 100	MILFORD	MA	01757	09/02/2022	09/12/2022	09/12/2022
Contract Detail	CAREMARK MICHIGAN SPECIALTY PHARMACY, LL	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1307 ALLEN DR STE H	TROY	MI	48083	09/02/2022	09/12/2022	09/12/2022
Contract Detail	CAREMARK NEW JERSEY SPECIALTY PHCY, LLC	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	180 PASSAIC AVE UNIT B-5	FAIRFIELD	NJ	07004	09/02/2022	09/12/2022	09/12/2022
Contract Detail	CAREMARK NORTH CAROLINA SPECIALTY PHARMA	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	10700 WORLD TRADE BLVD STE 110	RALEIGH	NC	27617	09/02/2022	09/12/2022	09/12/2022
Contract Detail	CAREMARK TENNESSEE SPECIALTY PHARMACY, L	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	8370 WOLF LAKE DR STE 107	BARTLETT	TN	38133	09/02/2022	09/12/2022	09/12/2022
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	1127 BRYN MAWR AVE SUITE A	REDLANDS	CA	92374	09/02/2022	09/12/2022	09/12/2022
Contract Detail	CAREMARK, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	7251 S. EASTERN AVE.	LAS VEGAS	NV	89119	09/02/2022	09/12/2022	09/12/2022
Contract Detail	CVS/SPECIALTY OR CARELONRX SPECIALTY PHA	CAREMARK, LLC	1001 SPINKS ROAD, STE 280	FLOWER MOUND	TX	75028	09/02/2022	09/12/2022	09/12/2022
Contract Detail	GARFIELD BEACH CVS, L.L.C.	CVSPHARMACY # 16161	1280 DANA DR	REDDING	CA	96003	09/02/2022	09/12/2022	09/12/2022
Contract Detail	GARFIELD BEACH CVS, L.L.C.	CVS/PHARMACY #11344	1035 PLACER ST STE 110	REDDING	CA	96001-1125	09/02/2022	09/12/2022	09/12/2022
Contract Detail	GARFIELD BEACH CVS, L.L.C.	CVS/PHARMACY #11341	2025 COURT ST STE A	REDDING	CA	96001-1805	09/02/2022	09/12/2022	09/12/2022
Contract Detail	GARFIELD BEACH CVS, L.L.C.	CVS/PHARMACY #11342	2975 EAST ST	ANDERSON	CA	96007-3481	09/02/2022	09/12/2022	09/12/2022
Contract Detail	GARFIELD BEACH CVS, L.L.C.	CVS/PHARMACY #11345	317 LAKE BLVD STE B	REDDING	CA	96003-2504	09/02/2022	09/12/2022	09/12/2022
Contract Detail	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09979	3375 PLACER ST	REDDING	CA	96001	09/02/2022	09/12/2022	09/12/2022
Contract Detail	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03911	1060 E CYPRESS AVE	REDDING	CA	96002	09/02/2022	09/12/2022	09/12/2022
Contract Detail	PROCARE PHARMACY DIRECT, L.L.C.	DBA CVS/SPECIALTY OR CARELONRX SPECIALTY	105 MALL BOULEVARD	MONROEVILLE	PA	15146	09/02/2022	09/12/2022	09/12/2022
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA: CVS/PHARMACY #2909	1521 4TH AVE., SOUTH	BIRMINGHAM	AL	35233	09/02/2022	09/12/2022	09/12/2022
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY	445 CASTRO STREET	SAN FRANCISCO	CA	94114	09/02/2022	09/12/2022	09/12/2022
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY	8607 SANTA MONICA BOULEVARD	WEST HOLLYWOOD	CA	90069	09/02/2022	09/12/2022	09/12/2022
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY OR CARELONRX SPECIALTY	ONE WATERFRONT PLAZA 500 ALA MOANA BLVD., BLDG 1	HONOLULU	HI	96813	09/02/2022	09/12/2022	09/12/2022
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY	1010 UNIVERSITY AVENUE	SAN DIEGO	CA	92103	09/02/2022	09/12/2022	09/12/2022
Contract Detail	PROCARE PHARMACY, L.L.C.	DBA CVS/PHARMACY #2923	3250 HARDEN ST. EXT. SUITE #300	COLUMBIA	SC	29203	09/02/2022	09/12/2022	09/12/2022

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	5/6/2024 1:14:19 PM	5/23/2025 8:20:23 PM	5/23/2025 8:20 PM
Details	Nature of Support: Support Received To Date	Update	Change Request	1/31/2025 12:00:00 AM	1/31/2026 12:00:00 AM	6/18/2024 4:21 PM
Contacts	Authorizing Official	Update	Group Change Request	Zdorova, Inna Sr. Finance Manager Planned Parenthood Shasta Diablo, Inc. 9258875313	Jensen, Nathan Daniel Purchasing Manager Planned Parenthood Shasta-Diablo Inc. DBA 9258875268	6/17/2024 8:19 AM
Contacts	Primary Contact	Update	Group Change Request	Jensen, Nathan Daniel Purchasing Manager Planned Parenthood Shasta-Diablo Inc. DBA 9258875268	Castanon-Hill, Kariana Procurement Specialist Planned Parenthood Shasta Diablo, Inc. 9258875215	6/17/2024 8:19 AM
Details	Last Recertification Date	Update	Recertification	5/10/2023 12:21:58 PM	5/6/2024 1:14:19 PM	5/6/2024 1:14 PM
Contacts	Authorizing Official	Update	AO Change Request	Sangera, Nim Senior Manager of Special Projects Planned Parenthood Northern California 5302181247	Zdorova, Inna Sr. Finance Manager Planned Parenthood Shasta Diablo, Inc. 9258875313	4/22/2024 3:30 PM
Contacts	Primary Contact	Update	Profile Change Request	Jensen, Nathan Daniel Procurement Specialist Planned Parenthood Shasta-Diablo Inc. DBA 9258875268	Jensen, Nathan Daniel Purchasing Manager Planned Parenthood Shasta-Diablo Inc. DBA 9258875268	4/16/2024 2:47 PM
Contacts	Primary Contact	Update	Change Request	Ghafur, Alia Clinical Operation Coordinator Planned Parenthood 9258875212	Jensen, Nathan Daniel Procurement Specialist Planned Parenthood Shasta-Diablo Inc. DBA 9258875268	8/10/2023 3:00 PM
Details	Nature of Support: Support Received To Date	Update	Change Request	12/31/2023 12:00:00 AM	1/31/2025 12:00:00 AM	6/2/2023 3:48 PM
Details	Last Recertification Date	Update	Recertification	5/17/2022 12:29:56 PM	5/10/2023 12:21:58 PM	5/10/2023 12:21 PM
Contacts	Authorizing Official	Update	AO Change Request	Martinez, Gloria Medical Services & Purchasing Manager Planned Parenthood 9258875217	Sangera, Nim Senior Manager of Special Projects Planned Parenthood Northern California 5302181247	12/20/2022 7:22 AM
Contacts	Authorizing Official	Update	Group Change Request	Horne, Michelle Vice President of Patient Services Planned Parenthood Northern California 9254122381	Martinez, Gloria Medical Services & Purchasing Manager Planned Parenthood 9258875217	8/16/2022 1:50 PM
Contacts	Primary Contact	Update	Recertification	Doster, Eileen E Patient Access Specialist Planned Parenthood Northern California 9258875369	Ghafur, Alia Clinical Operation Coordinator Planned Parenthood 9258875212	5/17/2022 12:29 PM
Details	Last Recertification Date	Update	Recertification	5/24/2021 8:16:53 AM	5/17/2022 12:29:56 PM	5/17/2022 12:29 PM
Details	Nature of Support: In Kind Support Description	Update	Recertification		CT/GC PDPT program	5/24/2021 8:16 AM
Details	Nature of Support: Support Received From Date	Update	Recertification		1/1/2019 12:00:00 AM	5/24/2021 8:16 AM
Details	Nature of Support: Support Received To Date	Update	Recertification		12/31/2023 12:00:00 AM	5/24/2021 8:16 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1407044175 ( )		5/24/2021 8:16 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1407044175	5/24/2021 8:16 AM
Medicaid Billing	NPI: State	Insert	Recertification		CA	5/24/2021 8:16 AM
Details	Last Recertification Date	Update	Recertification	5/5/2020 8:24:28 PM	5/24/2021 8:16:53 AM	5/24/2021 8:16 AM
Details	NOFO Number	Update	Recertification		PS19-1901	5/24/2021 8:16 AM
Contacts	Primary Contact	Update	Profile Change Request	Doster, Eileen E Client Services Adminsitrative Coordinator Planned Parenthood Northern California 9258875369	Doster, Eileen E Patient Access Specialist Planned Parenthood Northern California 9258875369	4/19/2021 12:40 PM
Details	Last Recertification Date	Update	Recertification	6/4/2019 6:03:13 AM	5/5/2020 8:24:28 PM	5/5/2020 8:24 PM
Contacts	Authorizing Official	Update	Change Request	Harr Yee, Erin Senior Vice President of Client Services Planned Parenthood Northern California 9258875386	Horne, Michelle Vice President of Patient Services Planned Parenthood Northern California 9254122381	4/16/2020 9:41 AM
Details	Nature Of Support	Delete	Recertification	Direct Funding (dollars received from CDC or an intermediate organization) ()-()		6/4/2019 6:03 AM
Details	Last Recertification Date	Update	Recertification	5/4/2018 10:25:22 AM	6/4/2019 6:03:13 AM	6/4/2019 6:03 AM
Details	Grant Number	Update	Recertification	1H25PS004317-01	1H25PS005127	6/4/2019 6:03 AM
Contacts	Primary Contact	Update	Change Request	BARRON-JOHNSON, LESLIE VP of Clinical Operations & Compliance Officer Planned Parenthood:Shasta-Diablo DBA Planned Parenthood Northern California 5105597979	Doster, Eileen E Client Services Adminsitrative Coordinator Planned Parenthood Northern California 9258875369	3/27/2019 9:54 AM
Contacts	Primary Contact	Update	Recertification	BARRON-JOHNSON, LESLIE VP OF CLIENT SERVICES AND COMPLIANCE OFFICER Planned Parenthood Northern California 5105597979	BARRON-JOHNSON, LESLIE VP of Clinical Operations & Compliance Officer Planned Parenthood:Shasta-Diablo DBA Planned Parenthood Northern California 5105597979	5/4/2018 10:25 AM
Details	Last Recertification Date	Update	Recertification	5/1/2017 12:00:00 AM	5/4/2018 10:25:22 AM	5/4/2018 10:25 AM
Contacts	Authorizing Official	Update	Change Request	BARRON-JOHNSON, LESLIE VP of Clinical Operations & Compliance Officer Planned Parenthood:Shasta-Diablo DBA Planned Parenthood Northern California 5105597979	Harr Yee, Erin Senior Vice President of Client Services Planned Parenthood Northern California 9258875386	10/13/2017 2:57 PM
Contacts	Authorizing Official	Insert	AO Change Request		BARRON-JOHNSON, LESLIE VP of Clinical Operations & Compliance Officer Planned Parenthood:Shasta-Diablo DBA Planned Parenthood Northern California 5105597979	10/12/2017 8:42 AM
Contacts	Primary Contact	Update	Change Request	BARRON-JOHNSON, LESLIE VP OF CLIENT SERVICES AND COMPLIANCE OFFICER 5105597979	BARRON-JOHNSON, LESLIE VP OF CLIENT SERVICES AND COMPLIANCE OFFICER Planned Parenthood Northern California 5105597979	10/5/2017 7:21 PM
Contacts	Signed By	Update	Change Request	BARRON-JOHNSON, LESLIE VP OF CLIENT SERVICES AND COMPLIANCE OFFICER 5105597979	BARRON-JOHNSON, LESLIE VP OF CLIENT SERVICES AND COMPLIANCE OFFICER Planned Parenthood Northern California 5105597979	10/5/2017 7:21 PM
Contacts	Primary Contact	Insert			BARRON-JOHNSON, LESLIE VP OF CLIENT SERVICES AND COMPLIANCE OFFICER 5105597979	6/30/2017 7:27 AM
Contacts	Signed By	Insert			BARRON-JOHNSON, LESLIE VP OF CLIENT SERVICES AND COMPLIANCE OFFICER 5105597979	6/30/2017 7:27 AM
Addresses	Main Address	Insert			2935 BECHELLI LANE SUITE C REDDING, CA 96002	5/1/2017 3:23 PM
Addresses	Billing Address	Insert			Planned Parenthood Northern California 2185 PACHECO ST. CONCORD, CA 94520	5/1/2017 3:23 PM
Details	Last Recertification Date	Update		2/12/2016 12:00:00 AM	5/1/2017 12:00:00 AM	5/1/2017 3:23 PM
Details	Entity Name	Update		PLANNED PARENTHOOD SHASTA-DIABLO	PLANNED PARENTHOOD SHASTA-DIABLO, INC. DBA PLANNED PARENTHOOD NORTHERN CALIFORNIA	2/15/2017 2:26 PM
Details	Nature Of Support	Insert			In-Kind products or services (see note below; must have been purchased with section 318 funds)	2/12/2016 3:35 PM
Details	Last Recertification Date	Update		2/10/2015 12:00:00 AM	2/12/2016 12:00:00 AM	2/12/2016 3:35 PM
Details	Nature Of Support	Insert			Direct Funding (dollars received from CDC or an intermediate organization)	2/10/2015 9:53 AM
Details	Last Recertification Date	Update			2/10/2015 12:00:00 AM	2/10/2015 9:53 AM
Dates	Participating Approval Date	Update			5/21/2014 12:00:00 AM	5/21/2014 3:48 PM
Details	State	Update		Pending	Active	5/21/2014 3:48 PM
Dates	Start Date	Update			7/1/2014 12:00:00 AM	5/21/2014 3:48 PM
Details	Grant Number	Update			1H25PS004317-01	5/14/2014 5:38 PM
Details	340B ID	Update		ONLINE_REG	STD96002	5/14/2014 5:38 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	4/14/2014 5:49 PM
Medicaid Billing	Medicaid: Number	Insert			1407044175	4/14/2014 5:49 PM
Medicaid Billing	Medicaid: State	Insert			CA	4/14/2014 5:49 PM
Medicaid Billing	NPI: Number	Insert			1407044175	4/14/2014 5:49 PM
Details	Last Recertification Date	Insert				4/14/2014 5:49 PM
Details	Grant Number	Insert				4/14/2014 5:49 PM
Details	340B ID	Insert			ONLINE_REG	4/14/2014 5:49 PM
Details	Is Authorizing Official EHB Data	Insert				4/14/2014 5:49 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/14/2014 5:49 PM
Details	Medicare Provider Number	Insert				4/14/2014 5:49 PM
Details	Entity Name	Insert			PLANNED PARENTHOOD SHASTA-DIABLO	4/14/2014 5:49 PM
Details	Program Code	Insert			STD	4/14/2014 5:49 PM
Details	Entity Subname	Insert			REDDING CENTER	4/14/2014 5:49 PM
Dates	Participating Approval Date	Insert				4/14/2014 5:49 PM
Details	State	Insert			Pending	4/14/2014 5:49 PM
Dates	Registration Date	Insert			4/14/2014 12:00:00 AM	4/14/2014 5:49 PM
Dates	Signed By Date	Insert			4/14/2014 12:00:00 AM	4/14/2014 5:49 PM
Dates	Start Date	Insert				4/14/2014 5:49 PM
Terminations	Termination Comments	Insert				4/14/2014 5:49 PM
Terminations	Termination Date	Insert				4/14/2014 5:49 PM
Terminations	Termination Effective Date	Insert				4/14/2014 5:49 PM
Terminations	Termination Reason	Insert				4/14/2014 5:49 PM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

History