Individual provider Active NPI

John M Riddle, MD

  • Family Medicine Physician
  • Hanford, CA
National Provider Identifier
1003823550
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14837 Issued in OK
Practice address
869 W Lacey Blvd
Hanford, CA 93230-4328
Phone
(559) 582-9313
Fax
(559) 582-2570
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A44838 CA
Family Medicine Physician 207Q00000X 14837 OK Primary

Addresses

Primary practice location

869 W Lacey Blvd
Hanford, CA 93230-4328

Mailing address

2910 Azalea Park
Muskogee, OK 74401
Phone (918) 683-6500

Other practice location 1

655 E Okmulgee St
Muskogee, OK 74403-5529
Phone (918) 913-7575

Other practice location 2

2910 Azalea Park
Muskogee, OK 74401
Phone (918) 683-6500

Other identifiers 1

IdentifierTypeStateIssuer
00A448380MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040204001022 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 7012826100 Reassigns benefits to 1 organization
I20251015002298 OK Practitioner - Family Practice 7012826100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kind Mind Mental Health Professional CorporationGroup PAC ID 6002254836, 5 clinicians

Practice addresses (Care Compare)

655 E Okmulgee St
Muskogee, OK 74403-5529
Phone (918) 913-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Mind Mental Health Professional Corporation CurrentSince Sep 1, 2025 Accepting new patients
Central Valley Comprehensive Care Inc. Family Medicine CurrentSince Mar 1, 2004 Accepting new patients
Bakersfield Family Medical Group Inc Family Medicine Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Sabine County Hospital District Past Accepting new patients

Locations

869 W Lacey Blvd
Hanford, CA 93230
Phone (559) 473-5126

655 E Okmulgee St
Muskogee, OK 74403
Phone (918) 683-0981

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1003823550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 AZALEA PARK",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74401",
            "telephone_number": "918-683-6500",
            "fax_number": "918-683-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304328",
            "telephone_number": "559-582-9313",
            "fax_number": "559-582-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 E Okmulgee St",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "744035529",
            "country_code": "US",
            "telephone_number": "918-913-7575",
            "fax_number": "918-913-7576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2910 Azalea Park",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "74401",
            "country_code": "US",
            "telephone_number": "918-683-6500",
            "fax_number": "918-683-8665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDDLE",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A44838",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "14837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A448380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.