Amethyst Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C42292 Issued in CA

Legal business name

AMETHYST MEDICAL GROUP, INC.

Doing business as

Amethyst Medical Group

Practice address

590 Searls Ave
Suite a
Nevada City, CA 95959-3043

Phone

(530) 798-5003

Fax

(530) 271-2338

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Winifred Myrna Loesch, MDNPI 1891761854

Title

President

Phone

(530) 798-5003

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amethyst Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/974/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Winifred Myrna Loesch, MD

  • Family Medicine Physician
  • Nevada City, CA
  • NPI 1891761854
  Medicare reassignment NPD Authorized official
• Curtis Jones, FNP

  • Family Nurse Practitioner
  • Carmichael, CA
  • NPI 1609914688
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1194836338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 SEARLS AVE",
            "address_2": "SUITE A",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593043",
            "telephone_number": "530-798-5003",
            "fax_number": "530-271-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 SEARLS AVE",
            "address_2": "SUITE A",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593043",
            "telephone_number": "530-798-5003",
            "fax_number": "530-271-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "LOESCH",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_middle_name": "MYRNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-798-5003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C42292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "00C422920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amethyst Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mihai Algiu
• Daniel Merrill Allen, D.O.
• Deanna D. Allen, PH.D.
• Megan Allen
• Zully Amaya
• Alix M Andersen, RADT
• Anderson Physical Therapy, Inc.
• Joni Anderson, PT
• Philip J Anderson, PT
• Anew Day

• Family Medicine Physician in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.