Individual provider Active NPI

John Vidrih, M.D.

  • Hospitalist Physician
  • Clearlake, CA
National Provider Identifier
1063482842
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
C171245 Issued in CA
Practice address
15630 18TH Ave
Clearlake, CA 95422-9336
Phone
(707) 994-6486
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 332273 NY
Hospitalist Physician 208M00000X C171245 CA Primary
Internal Medicine Physician 207R00000X 01099009A IN
Internal Medicine Physician 207R00000X C171245 CA
Hospitalist Physician 208M00000X 44001 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 160307 MA

Addresses

Primary practice location

15630 18TH Ave
Clearlake, CA 95422-9336

Mailing address

2100 Powell St Ste 400
Emeryville, CA 94608-1872
Phone (510) 350-2600

Other practice location 1

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 340-4293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, HI, CA, NY, IN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20110428000699 AZ Practitioner - Internal Medicine 2860478617 Reassigns benefits to 1 organization
I20130624000242 HI Practitioner - Internal Medicine 2860478617 Reassigns benefits to 1 organization
I20210412002611 CA Practitioner - HospitalistPractitioner - Internal Medicine 2860478617 Reassigns benefits to 2 organizations
I20241028002818 NY Practitioner - Hospitalist 2860478617 Reassigns benefits to 1 organization
I20260205001917 IN Practitioner - Hospitalist 2860478617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Medical College of Wisconsin, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7000

3901 S 7TH St
Terre Haute, IN 47802-5709
Phone (812) 232-0021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
332273NYMDLicensed Practical Nurse
C171245CAMDInternal Medicine Physician
01099009AINMDInternal Medicine Physician
160307MAMDCritical Care Medicine (Internal Medicine) Physician
44001AZMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jun 1, 2022 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Feb 10, 2026 Accepting new patients
Vituity - Arizona Hospitalists PC Hospitalist CurrentSince Jul 1, 2021 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Jan 7, 2021 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince Oct 15, 2024 Accepting new patients
Vituity - Arizona Hospitalists PC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince Oct 15, 2024 Accepting new patients
Rehabilitation Medical Associates, P.C. Internal Medicine PastSince May 26, 2024 Accepting new patients
Coastal Medical Associates Hospitalist Past Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients

Locations

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: jvidrih3807787@direct.trinity-health.org
  • Direct secure messaging: jvidrih@yourcarecommunity.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1063482842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081872",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15630 18TH AVE",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954229336",
            "telephone_number": "707-994-6486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fogg Rd",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021902432",
            "country_code": "US",
            "telephone_number": "781-340-4293",
            "fax_number": "781-340-3782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDRIH",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "332273",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C171245",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01099009A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C171245",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "44001",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "160307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearlake, CA

Sources for this page

Verify at the official NPI Registry.