Individual provider Active NPI

John Patrick McDermott, FNP, PA-C

  • Family Nurse Practitioner
  • Orland, CA
National Provider Identifier
1215930748
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP15241 Issued in CA
Practice address
750 E Walker St Ste a
Orland, CA 95963-2222
Phone
(530) 865-4400
Fax
(530) 865-7285
NPI assigned
May 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 547631 CA
Community Health Registered Nurse 163WC1500X PHN 60273 CA
Physician Assistant 363A00000X PA17515 CA
Family Nurse Practitioner 363LF0000X NP15241 CA Primary

Addresses

Primary practice location

750 E Walker St Ste a
Orland, CA 95963-2222

Mailing address

750 E Walker St Ste a
Orland, CA 95963-2222
Phone (530) 865-4400

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
I20060327000766 CA Practitioner - Physician Assistant 2163430570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
RN 547631CAMDRegistered Nurse
PHN 60273CAMDCommunity Health Registered Nurse
17515CAMDOccupational Therapist
PA17515CAMDPhysician Assistant
NP15241CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical Associates Inc CurrentSince Nov 27, 2011 Accepting new patients
Orland Medical Group, a Physician Assistant Corporation Current Accepting new patients
Colusa Medical Center, LLC Past Accepting new patients
Ampla Health Past Accepting new patients

Locations

750 E Walker St
Ste A
Orland, CA 95963
Phone (530) 216-6213

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/colusar-7905f953

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1215930748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E WALKER ST STE A",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959632222",
            "telephone_number": "530-865-4400",
            "fax_number": "530-865-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E WALKER ST STE A",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959632222",
            "telephone_number": "530-865-4400",
            "fax_number": "530-865-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "FNP, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN 547631",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "PHN 60273",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17515",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP15241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland, CA

Sources for this page

Verify at the official NPI Registry.