Active NPI
Jarett Roy Beaudoin, MD
- Family Medicine Physician
- Oroville, CA
National Provider Identifier
1003377615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A191533
- Practice address
- 78 Table Mountain Blvd
Oroville, CA 95965-3578 - Phone
- (530) 552-3918
- NPI assigned
- Mar 27, 2019
- Last updated
- Jan 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A191533 | CA | Primary |
| Public Health & General Preventive Medicine Physician | 2083P0901X | A191533 | CA |
Addresses
Primary practice location
78 Table Mountain Blvd
Oroville, CA 95965-3578
Mailing address
202 Mira Loma Dr
Oroville, CA 95965-3500
Phone (530) 552-3932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231222002808 | CA | Practitioner - Family Practice | 8224488770 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A191533 | CA | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Butte | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHFIAA/Endpoint/BHFIAA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Butte Co Dept of Public Health Clinics and OA C&T Program
- Public Health or Welfare Agency
- Oroville, CA
- NPI 1790886117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1003377615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 MIRA LOMA DR",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959653500",
"telephone_number": "530-552-3932",
"fax_number": "530-538-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 TABLE MOUNTAIN BLVD",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959653578",
"telephone_number": "530-552-3918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUDOIN",
"first_name": "JARETT",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-27",
"last_updated": "2025-01-13",
"certification_date": "2025-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A191533",
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "A191533",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.