David Candelaria, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD17629 Issued in OR

Practice address

280 Maple St
Ashland, OR 97520-1552

Phone

(541) 201-4000

NPI assigned

May 23, 2005

Last updated

Sep 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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 1

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 PartnersGroup PAC ID 8325206246, 227 clinicians

Lower Umpqua Hospital DistrictGroup PAC ID 6800703562, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lower Umpqua Hospital District Hospital, Reedsport, OR, CCN 381311
• Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005
• Lower Umpqua Hospital District Nursing home, CCN 38Z311

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: davidcandelaria@jcph.allscriptsdirect.net

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.

• Asante Physician Partners

  • Family Medicine Physician
  • Medford, OR
  • NPI 1922381326
  Medicare reassignment Care Compare group NPD
• Lower Umpqua Hospital District

  • Critical Access Hospital
  • Reedsport, OR
  • NPI 1003874819
  Medicare reassignment Care Compare group NPD
• Josephine County

  • Community/Behavioral Health Agency
  • Grants Pass, OR
  • NPI 1295737336
  Medicare reassignment
• Lower Umpqua Hospital District

  dba Lower Umpqua Hospital Pharmacy

  • Community/Retail Pharmacy
  • Reedsport, OR
  • NPI 1336334754
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Asante Ashland Community Hospital, LLC

  • General Acute Care Hospital
  • Ashland, OR
  • NPI 1730628827
  Care Compare affiliation
• Lower Umpqua Hospital District

  • Critical Access Hospital
  • Reedsport, OR
  • NPI 1003874819
  Care Compare affiliation
• Lower Umpqua Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Reedsport, OR
  • NPI 1063460095

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315008000000",
    "number": "1033112271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975280041",
            "telephone_number": "541-955-4655",
            "fax_number": "541-955-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAPLE ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201552",
            "telephone_number": "541-201-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD17629",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Campagna, DPT
• Alan Campbell, MD
• Heather Elizabeth Campbell
• Rachelle B Canady
• Pamela Cancel, LPC-I
• Melanye Cannon, LMT
• Ariana Bianca Cantrell
• Angela Christina Cao Turman
• Care Center (Linda Vista) Inc (Linda Vista Care Center)
• Caressa Gullikson, DC LLC

• Family Medicine Physician in Ashland, OR
• Providers in Ashland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2011; 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.

Verify at the official NPI Registry.