Individual provider Active NPI

John P Dutton, M.D.

  • Emergency Medicine Physician
  • Travis Afb, CA
National Provider Identifier
1285600346
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C52209 Issued in CA
Practice address
101 Bodin Cir
Travis Afb, CA 94535-1809
Phone
(707) 423-3826
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD60861174 WA
Emergency Medicine Physician 207P00000X C52209 CA Primary

Addresses

Primary practice location

101 Bodin Cir
Travis Afb, CA 94535-1809

Mailing address

8185 Winterhawk LN
Granite Bay, CA 95746-9018
Phone (916) 787-4554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, MN, WV, TX, OH, AZ, KY, PA, MD, CO, FL, IN, DC14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20061211000664 CA Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 5 organizations
I20220830003086 WA Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 2 organizations
I20230504003113 MN Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 1 organization
I20230510000603 WV Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 1 organization
I20230601002340 TX Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 1 organization
I20230614000997 OH Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 1 organization
I20251106002943 AZ Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 1 organization
I20251114002406 KY Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 1 organization
I20251118002548 PA Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 1 organization
I20251118003984 MD Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 1 organization
I20251121002883 CO Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 1 organization
I20251203000652 FL Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 1 organization
I20251203002128 IN Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 1 organization
I20251208002023 DC Practitioner - Emergency Medicine 3375542897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate Emergency MedicineGroup PAC ID 8325580707, 21 clinicians
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

41870 Garstin Dr
Big Bear Lake, CA 92315-2088
Phone (909) 866-6501

520 W I St
Los Banos, CA 93635-3419
Phone (209) 826-0591

733 Cedar St
Garberville, CA 95542-3201
Phone 70792339211276

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California Emergency Medicine CurrentSince May 1, 2006 Accepting new patients
Cmdpn Medical Group of Washington P C Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince Oct 1, 2025 Accepting new patients
Schnabel Medical Services, P.C. CurrentSince Jan 6, 2026 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 15, 2022 Accepting new patients
Cirrusmd Medical Group of Delaware, P.a. Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 15, 2022 Accepting new patients
Elevate Emergency Medicine Emergency Medicine CurrentSince May 13, 2024 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince Oct 1, 2025 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince May 1, 2006 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Emergency Medicine Past Accepting new patients

Locations

11201 N Tatum Blvd
Ste 300
Phoenix, AZ 85028
Phone (480) 900-3556

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

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

733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

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

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

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

3513 Brighton Blvd
Ste 230
Denver, CO 80216
Phone (303) 653-7720

3000 Lawrence St
#101
Denver, CO 80205
Phone (720) 996-0522

3000 Lawrence St
Ste 101
Denver, CO 80205

6844 Bardstown Rd
Louisville, KY 40291
Phone (216) 303-1265

2136 Ford Pkwy
Ste 5345
Saint Paul, MN 55116

865 State Route 33
Ste 3
Freehold, NJ 07728
Phone (424) 292-2923

1985 Henderson Rd
Columbus, OH 43220
Phone (419) 377-0591

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

504 Emily Dr
Clarksburg, WV 26301
Phone (304) 404-4099

Interoperability endpoints

  • Direct secure messaging: jduttonmd26423@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1285600346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8185 WINTERHAWK LN",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469018",
            "telephone_number": "916-787-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60861174",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C52209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travis Afb, CA

Sources for this page

Verify at the official NPI Registry.