Active NPI
John P Delgado, MD
- Family Medicine Physician
- Ashland, OR
National Provider Identifier
1083892020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G63783
- Practice address
- 148 E Hersey St
Ashland, OR 97520 - Phone
- (541) 326-4777
- Fax
- (541) 708-6372
- NPI assigned
- Feb 1, 2008
- Last updated
- Mar 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | G63783 | CA | |
| Family Medicine Physician | 207Q00000X | G63783 | CA | Primary |
| Family Medicine Physician | 207Q00000X | MD16862 | OR |
Addresses
Primary practice location
148 E Hersey St
Ashland, OR 97520
Mailing address
148 E Hersey St
Ashland, OR 97520
Phone (541) 326-4777
Other practice location 1
18650 NW Cornell Rd Ste 220
Hillsboro, OR 97124-9212
Phone (503) 848-5861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200325000456 | CA | Practitioner - Family Practice | 9830148741 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1083892020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 E HERSEY ST",
"city": "ASHLAND",
"state": "OR",
"postal_code": "97520",
"telephone_number": "541-326-4777",
"fax_number": "541-708-6372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 E HERSEY ST",
"city": "ASHLAND",
"state": "OR",
"postal_code": "97520",
"telephone_number": "541-326-4777",
"fax_number": "541-708-6372"
}
],
"practiceLocations": [
{
"address_1": "18650 NW Cornell Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971249212",
"country_code": "US",
"telephone_number": "503-848-5861",
"fax_number": "503-848-5863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELGADO",
"first_name": "JOHN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "G63783",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G63783",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD16862",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.