Organization Active NPI

Nevada City Medical Office Inc a Professional Corporation

  • Internal Medicine Physician
  • Grass Valley, CA
National Provider Identifier
1336236355
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A498360 Issued in CA
Legal business name
NEVADA CITY MEDICAL OFFICE INC A PROFESSIONAL CORPORATION
Practice address
470 So Auburn St
Suite E
Grass Valley, CA 95945
Phone
(530) 477-0906
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Dr. Jonathan Lacey Pierce
Title
Cfo
Phone
(530) 273-9992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A498360 CA Primary

Addresses

Primary practice location

470 So Auburn St
Suite E
Grass Valley, CA 95945

Mailing address

470 So Auburn St
Suite E
Grass Valley, CA 95945
Phone (530) 477-0906

National Provider Directory

National Provider Directory

Locations

470 S Auburn St
Ste E
Grass Valley, CA 95945
Phone (530) 273-9992

715 Zion St
Nevada City, CA 95959
Phone (530) 265-5853

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1336236355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SO AUBURN ST",
            "address_2": "SUITE E",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-477-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SO AUBURN ST",
            "address_2": "SUITE E",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-477-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA CITY MEDICAL OFFICE INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "LACEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-273-9992",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A498360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.