Individual provider Active NPI

Virgil Hilarn Duvernay, MD, PHD, FACP

  • Internal Medicine Physician
  • Oroville, CA
National Provider Identifier
1285681056
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A45858 Issued in CA
Practice address
2450 Oro Dam Blvd E
Oroville, CA 95966-6052
Phone
(530) 712-2171
Fax
(530) 712-2149
NPI assigned
May 27, 2006
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01063909A IN
Internal Medicine Physician 207R00000X A45858 CA Primary

Addresses

Primary practice location

2450 Oro Dam Blvd E
Oroville, CA 95966-6052

Mailing address

PO Box 5040
Oroville, CA 95966-0040
Phone (918) 528-5268

Other identifiers 4

IdentifierTypeStateIssuer
000000549587OtherINANTHEM PIN
250470OtherINMEDICARE GROUP
200870160MedicaidIN
200859330COtherINMEDICAID GROUP

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
I20090908000497 CA Practitioner - Internal Medicine 1052200516 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45858CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orohealth Corporation a Non Profit Healthcare System Internal Medicine CurrentSince Aug 6, 2019 Accepting new patients
Paradise Medical Group, Inc. Internal Medicine Past Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine Past Accepting new patients
Mt. Emily Medical Associates, LLC Internal Medicine PastSince Jun 1, 2004 Accepting new patients
Creek Settlement Inpatient Services LLC Internal Medicine Past Accepting new patients

Locations

2450 Oro Dam Blvd E
Oroville, CA 95966
Phone (530) 712-2128

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1285681056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5040",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959660040",
            "telephone_number": "918-528-5268",
            "fax_number": "918-770-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ORO DAM BLVD E",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666052",
            "telephone_number": "530-712-2171",
            "fax_number": "530-712-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVERNAY",
        "first_name": "VIRGIL",
        "middle_name": "HILARN",
        "credential": "MD, PHD, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01063909A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A45858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000549587",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "250470",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200870160",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "200859330C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.