Active NPI
Jane Ragan
- Internal Medicine Physician
- Grass Valley, CA
National Provider Identifier
1124063508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A73369
- Practice address
- 140 Litton Dr
Suite 110
Grass Valley, CA 95945-5077 - Phone
- (530) 272-9770
- Fax
- (530) 272-9796
- NPI assigned
- Jun 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A73369 | CA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A73369 | CA |
Addresses
Primary practice location
140 Litton Dr
Suite 110
Grass Valley, CA 95945-5077
Mailing address
140 Litton Dr
Suite 110
Grass Valley, CA 95945-5077
Phone (530) 272-9770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A733690 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73369 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osler Medical Group Inc | Internal Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1952468035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1124063508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 LITTON DR",
"address_2": "SUITE 110",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455077",
"telephone_number": "530-272-9770",
"fax_number": "530-272-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 LITTON DR",
"address_2": "SUITE 110",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455077",
"telephone_number": "530-272-9770",
"fax_number": "530-272-9796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGAN",
"first_name": "JANE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A73369",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A73369",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A733690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.