John Charles Kirby, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

20A4275 Issued in CA

Practice address

5528 E la Palma Ave
Suite 4-a
Anaheim, CA 92807-2115

Phone

(714) 970-0200

Fax

(714) 970-0270

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 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

Specialty

Diagnostic Radiology

Education

Kansas City University of Physicians and Surgeons, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Valley Radiology Associates PLLCGroup PAC ID 2062916083, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
• Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 43)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
• FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/

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.

• East Valley Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • Chandler, AZ
  • NPI 1518853928

  CA

  Medicare reassignment Care Compare group NPD
• Adventist Health Clearlake Hospital Inc.

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  Medicare reassignment NPD
• Adventist Health Delano

  • Registered Dietitian
  • Delano, CA
  • NPI 1578798047
  Medicare reassignment NPD
• Adventist Health Medical Center Tehachapi

  • Critical Access Hospital
  • Tehachapi, CA
  • NPI 1275538530
  Medicare reassignment NPD
• Adventist Health Tulare

  • General Acute Care Hospital
  • Tulare, CA
  • NPI 1801366711
  Medicare reassignment NPD
• Fullerton Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Anaheim, CA
  • NPI 1861451858

  AZ

  Medicare reassignment NPD
• Hanford Community Hospital

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  Medicare reassignment NPD
• Los Alamitos Radiology Group Inc

  • Diagnostic Radiology Physician
  • Los Alamitos, CA
  • NPI 1427005024
  Medicare reassignment NPD
• Los Angeles Radiology Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Glendale, CA
  • NPI 1366525487
  Medicare reassignment NPD
• Radiology Medical Group of WMMC

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1831123868
  Medicare reassignment NPD
• Reedley Community Hospital

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Medicare reassignment NPD
• Rideout Memorial Hospital

  • General Acute Care Hospital
  • Marysville, CA
  • NPI 1720088354
  Medicare reassignment NPD

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

• Dignity Community Care

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1700910189
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088
  Care Compare affiliation

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1033155346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 E LA PALMA AVE",
            "address_2": "SUITE 4-A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072115",
            "telephone_number": "714-970-0200",
            "fax_number": "714-970-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5528 E LA PALMA AVE",
            "address_2": "SUITE 4-A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072115",
            "telephone_number": "714-970-0200",
            "fax_number": "714-970-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A4275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX42750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Jay King, MA
• Kingdom Medical Distributors Supply Inc
• Taylor Kinney
• Samantha Kinnison, LLPC
• Olive Kintu-Sebuliba, CNM
• Daniel Robert Kirchen
• Mary Waturi Kiriaku
• Callie Kirk, LMFT
• Lori Kirkland
• Sarah Namukono Kirya, PA

• Diagnostic Radiology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.