Individual provider Active NPI

Jerry Michael Cline, M.D.

  • Obstetrics Physician
  • Vacaville, CA
National Provider Identifier
1336126374
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A106005 Issued in CA
Practice address
97 Dobbins St Ste a
Vacaville, CA 95688-2700
Phone
(707) 887-3651
Fax
(707) 210-0480
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11423 NV
Obstetrics Physician 207VX0000X A106005 CA Primary

Addresses

Primary practice location

97 Dobbins St Ste a
Vacaville, CA 95688-2700

Mailing address

97 Dobbins St Ste a
Vacaville, CA 95688-2700
Phone (707) 887-3651

Other identifiers 2

IdentifierTypeStateIssuer
CS13448OtherNVPHARMACY/CDS
1306011374MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200415003390 CA Practitioner - Obstetrics/Gynecology 0143233411 Reassigns benefits to 2 organizations
I20240314003347 CA Practitioner - Family Practice 0143233411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ukiah Adventist HospitalGroup PAC ID 6406816123, shared by 5 NPIs, 136 clinicians

Practice addresses (Care Compare)

260 Hospital Dr
Ukiah, CA 95482-4568

Hospital & facility affiliations

  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11423NVMDFamily Medicine Physician
A106005CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turnure Medical Group Inc SPC Family Medicine CurrentSince May 4, 2024 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Mar 3, 2020 Accepting new patients
Permanente Medical Group, Inc CurrentSince Mar 3, 2020 Accepting new patients
Adventist Health Physicians Network CurrentSince Sep 1, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Sep 1, 2023 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Roseville Urology, Inc. PastSince May 4, 2024 Accepting new patients
Grassroots Healthcare Foundation PastSince Oct 6, 2019 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

6805 Five Star Blvd
Ste 100
Rocklin, CA 95677
Phone (916) 624-3500

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

260 Hospital Dr
Ste 204
Ukiah, CA 95482
Phone (707) 463-8032

260 Hospital Dr
Ste 103
Ukiah, CA 95482
Phone (707) 463-7490

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: jerry.cline.1@21049.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20765/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jerry.cline.1@20765.direct.athenahealth.com

Organizations & group practices 9

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1336126374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 DOBBINS ST STE A",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882700",
            "telephone_number": "707-887-3651",
            "fax_number": "707-210-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 DOBBINS ST STE A",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882700",
            "telephone_number": "707-887-3651",
            "fax_number": "707-210-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "JERRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11423",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A106005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY/CDS",
            "identifier": "CS13448",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306011374",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.