John C Nelson MD Inc

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

JOHN C NELSON MD INC

Practice address

Hospice of Humboldt
3327 Timber Fall Court
Eureka, CA 95503

Phone

(707) 445-8443

NPI assigned

Aug 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. John Christopher Nelson, MD

Title

President

Phone

(707) 845-4688

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1033765060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 ADAMSON CT",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955199203",
            "telephone_number": "707-845-4688",
            "fax_number": "877-417-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPICE OF HUMBOLDT",
            "address_2": "3327 TIMBER FALL COURT",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95503",
            "telephone_number": "707-445-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C NELSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-845-4688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario R Jimenez
• Nicole Jimenez
• Rene Lona Jimenez, REGISTERED NURSE
• Shelly Lynn Jochim, RN
• Lina U Johari
• Sarah J Johnsn
• Cristie Johnson
• Donald Wayne Johnson
• Ericka Ann Johnson, RN, PHN
• Frederick J Johnson

• Hospice and Palliative Medicine (Family Medicine) Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.