Active NPI
John M. Dawson, D.P.M.
- Podiatrist
- Folsom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4614
- Practice address
- 1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594 - Phone
- (916) 351-4800
- Fax
- (916) 351-4899
- NPI assigned
- Aug 4, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E4614 | CA | Primary |
Addresses
Primary practice location
1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000810708989 | Other | CA | PHCS |
| 4029517 | Other | CA | CIGNA |
| 2583359 | Other | CA | UNITED HEALTHCARE |
| 1927452 | Other | CA | GREAT WEST |
| 256753 | Other | CA | INTERPLAN |
| 5634981 | Other | CA | FIRST HEALTH |
| 7673746 | Other | CA | AETNA |
| E4614 | Other | CA | BLUE CROSS |
| 000E46140 | Medicaid | CA | |
| 111434 | Other | CA | HEALTH NET |
| 000E46140 | Other | CA | BLUE SHIELD |
| 90198024 | Other | CA | PACIFICARE |
| MCMG4189000 | Other | CA | WESTERN HEALTH ADVANTAGE |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7476
1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800
1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800
3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4614 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients |
Locations
3581 Palmer Dr
Ste 401
Cameron Park, CA 95682
Phone (530) 676-4122
6555 Coyle Ave
Carmichael, CA 95608
Phone (916) 536-2500
6403 Coyle Ave
Ste 250
Carmichael, CA 95608
Phone (916) 961-2820
8001 Madison Ave
Citrus Hts, CA 95610
Phone (916) 536-2420
7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950
3400 Data Dr
Fl 1
Rancho Cordova, CA 95670
Phone (916) 379-2726
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
2110 Professional Dr
Ste 120
Roseville, CA 95661
Phone (916) 536-2500
8120 Timberlake Way
Ste 109
Sacramento, CA 95823
Phone (916) 681-6000
3939 J St
Ste 250
Sacramento, CA 95819
Phone (916) 733-6901
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
4400 Duckhorn Dr
Ste 100
Sacramento, CA 95834
Phone (916) 575-8000
Organizations & group practices 7
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 Mercy Medical Group, a service of Dignity Health Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
dba Dignity Health Medical Group - North State, a service of Dignity Healt
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
dba Methodist Hospital of Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
dba Mercy San Juan Medical Center
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
dba Methodist Hospital
- Rehabilitation Hospital Unit
- San Antonio, TX
- NPI 1134166069
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": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439164800000",
"number": "1316955024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 PRAIRIE CITY RD",
"address_2": "SUITE 120",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956309594",
"telephone_number": "916-351-4800",
"fax_number": "916-351-4899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "JOHN",
"middle_name": "M.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2015-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "000810708989",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4029517",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2583359",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "1927452",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERPLAN",
"identifier": "256753",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5634981",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7673746",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "E4614",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E46140",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "111434",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000E46140",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "90198024",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WESTERN HEALTH ADVANTAGE",
"identifier": "MCMG4189000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.