Active NPI
John A Kermen, D.O.
- Anesthesiology Physician
- Fort Bragg, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20A6669
- Practice address
- 700 River Dr
Fort Bragg, CA 95437-5403 - Phone
- (707) 961-1234
- NPI assigned
- May 11, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20A6669 | CA | Primary |
Addresses
Primary practice location
700 River Dr
Fort Bragg, CA 95437-5403
Mailing address
PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX66690 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6669 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonora Anesthesia Services a Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of Chico | Anesthesiology | Current | Accepting new patients |
Locations
121 Raley Blvd
Chico, CA 95928
Phone (530) 230-2000
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Fort Bragg, CA
- NPI 1255540340
-
- Certified Registered Nurse Anesthetist
- Arcata, CA
- NPI 1992736409
-
- Certified Registered Nurse Anesthetist
- Marysville, CA
- NPI 1669520052
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Anesthesia Associates of Chico Medical Group Inc
- Anesthesiology Physician
- Chico, CA
- NPI 1770666034
-
- Anesthesiology Physician
- Sonora, CA
- NPI 1265481105
-
- Certified Registered Nurse Anesthetist
- Los Altos, CA
- NPI 1821010091
-
- Anesthesiology Physician
- Fort Bragg, CA
- NPI 1134179302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306896428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34120",
"city": "RENO",
"state": "NV",
"postal_code": "895334120",
"telephone_number": "775-747-5050",
"fax_number": "775-747-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 RIVER DR",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954375403",
"telephone_number": "707-961-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERMEN",
"first_name": "JOHN",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A6669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX66690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.