David Candelaria, M.D.
Individual provider Active NPI Family Medicine Physician · Ashland, OR
NPI 1033112271 · NPPES record last updated Sep 3, 2011
Key facts
- NPI
- 1033112271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD17629 (OR)
- Practice address
- 280 Maple St
Ashland, OR 97520-1552 - Phone
- (541) 201-4000
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Asante Physician Partners
Lower Umpqua Hospital District
Practice addresses (Care Compare)
280 Maple St
Ashland, OR 97520-1552
Phone (541) 201-4000
600 Ranch Rd
Reedsport, OR 97467-1720
Phone (541) 271-2171
620 Ranch Rd
Reedsport, OR 97467-1720
Phone (541) 271-2163
625 SW Ramsey Ave
Suite a
Grants Pass, OR 97527-5808
Phone (541) 507-2290
715 NW Dimmick St
Grants Pass, OR 97526-1536
Phone (541) 474-5325
Hospital & facility affiliations
- Lower Umpqua Hospital District
- Asante Ashland Community Hospital
- Lower Umpqua Hospital District
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031204001109 | OR | Practitioner - Family Practice |
0547165292 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31332 | CO | MD | Family Medicine Physician |
| 17629 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Umpqua Hospital District | Current |
Accepting new patients | |
| Asante Physician Partners | Family Medicine | Current |
Accepting new patients |
| Lower Umpqua Hospital District | Current |
Accepting new patients |
Locations
280 Maple St
Ashland, OR 97520
Phone (541) 201-4000
625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004
2620 E Barnett Rd
Ste H
Medford, OR 97504
Phone (541) 789-4281
600 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2171
620 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2163
Interoperability endpoints
- davidcandelaria@jcph.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD17629 | OR | Yes |
| Family Medicine Physician | 207Q00000X | 31332 | CO |
Addresses
Primary practice location
280 Maple St
Ashland, OR 97520-1552
Mailing address
PO Box 490
Grants Pass, OR 97528-0041
Phone (541) 955-4655
Other providers in Ashland, OR
- Sara Campagna
- Alan Campbell
- Heather Elizabeth Campbell
- Rachelle B Canady
- Pamela Cancel
- Melanye Cannon
- Ariana Bianca Cantrell
- Angela Christina Cao Turman
- Care Center (Linda Vista) Inc
- Caressa Gullikson, DC LLC
All providers in Ashland, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.