Individual provider Active NPI

John Alexander Fordham, DO

  • Psychiatry Physician
  • Napa, CA
National Provider Identifier
1225464993
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A14683 Issued in CA
Practice address
1580 1St St
Napa, CA 94559-2841
Phone
(707) 258-8757
Fax
(707) 253-0457
NPI assigned
Sep 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X UO3464 FL
Psychiatry Physician 2084P0800X 20A14683 CA Primary

Addresses

Primary practice location

1580 1St St
Napa, CA 94559-2841

Mailing address

1580 1St St
Napa, CA 94559-2841
Phone (707) 258-8757

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010002525 CA Practitioner - Psychiatry 4880969203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Contra Costa CountyGroup PAC ID 8628052974, 74 clinicians

Practice addresses (Care Compare)

2311 Loveridge Rd
Pittsburg, CA 94565-5117

2523 El Portal Dr
San Pablo, CA 94806-3305
Phone (510) 215-3730

Hospital & facility affiliations

  • Contra Costa Regional Medical Center Hospital, Martinez, CA, CCN 050276

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A14683CAMDPsychiatry Physician
UO3464FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County CurrentSince Aug 20, 2024 Accepting new patients
County of Humboldt CurrentSince Aug 21, 2017 Accepting new patients
Contra Costa County Current Accepting new patients
Contra Costa County CurrentSince Aug 20, 2024 Accepting new patients
County of Humboldt Current Accepting new patients
County of Humboldt CurrentSince Aug 21, 2017 Accepting new patients

Locations

720 Wood St
Eureka, CA 95501
Phone (707) 268-2900

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

Interoperability endpoints

  • Direct secure messaging: jfordham14181@alamedahs.direct-ci.com

Organizations & group practices 6

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": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225464993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 1ST ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945592841",
            "telephone_number": "707-258-8757",
            "fax_number": "707-258-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 1ST ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945592841",
            "telephone_number": "707-258-8757",
            "fax_number": "707-253-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDHAM",
        "first_name": "JOHN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "UO3464",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A14683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.