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
- 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010194 | Medicaid | OR |
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
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010194",
"state": "OR"
}
],
"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.