Active NPI
Jon P. Belleville, M.D.
- Anesthesiology Physician
- Oxnard, CA
National Provider Identifier
1013069426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G57679
- Practice address
- 1600 N Rose Ave
Oxnard, CA 93030-3722 - Phone
- (805) 988-2818
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G57679 | CA | Primary |
Addresses
Primary practice location
1600 N Rose Ave
Oxnard, CA 93030-3722
Mailing address
3116 W March LN
Suite 200
Stockton, CA 95219-2369
Phone (209) 473-6555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G576790 | Medicaid | CA | |
| 050083025 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G57679 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1013069426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 W MARCH LN",
"address_2": "SUITE 200",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192369",
"telephone_number": "209-473-6555",
"fax_number": "209-473-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N ROSE AVE",
"city": "OXNARD",
"state": "CA",
"postal_code": "930303722",
"telephone_number": "805-988-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLEVILLE",
"first_name": "JON",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G57679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G576790",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050083025",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.