Individual provider Active NPI

John Cawley

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1164153540
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95021355 Issued in CA
Practice address
2279 45TH St
Sacramento, CA 95817-1514
Phone
(916) 734-5959
NPI assigned
Jun 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95021355 CA Primary

Addresses

Primary practice location

2279 45TH St
Sacramento, CA 95817-1514

Mailing address

2279 45TH St
Sacramento, CA 95817-1514
Phone (916) 734-5959

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220801001063 CA Practitioner - Nurse Practitioner 0042692576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-3761

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95021355CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Jun 5, 2023 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Cep America - California Current Accepting new patients
Cep America - California Current Accepting new patients
Cep America - California CurrentSince Jul 25, 2022 Accepting new patients
Cep America - California CurrentSince Jul 25, 2022 Accepting new patients
Cep America-California CurrentSince Jul 25, 2022 Accepting new patients
Regents of the University of Ca CurrentSince Jun 5, 2023 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

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

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

4501 X St
Sacramento, CA 95817
Phone (916) 734-5959

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

2279 45th St
Sacramento, CA 95817
Phone (916) 734-5959

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4501 X St
Ste 3016
Sacramento, CA 95817
Phone (916) 734-3771

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1164153540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 45TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171514",
            "telephone_number": "916-734-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 45TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171514",
            "telephone_number": "916-734-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAWLEY",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95021355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.