John De Geus, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101252162 Issued in VA

Practice address

1 Administration Cir
BLD 1403
Ridgecrest, CA 93555-6104

Phone

(760) 939-8000

Fax

(760) 939-0400

NPI assigned

Jun 25, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1386955177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ADMINISTRATION CIR",
            "address_2": "BLD 1403",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935556104",
            "telephone_number": "760-939-8000",
            "fax_number": "760-939-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ADMINISTRATION CIR",
            "address_2": "BLD 1403",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935556104",
            "telephone_number": "760-939-8000",
            "fax_number": "760-939-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GEUS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101252162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel H. Mallory, O.D.
• Brian Lory Danielsson, DDS
• Karen Elizabeth Davin, NP
• Shannon Elizabeth Davis
• Sue Marie Davis
• Julie De Jesus
• Mia Sophia De la Torre
• Richard Deamer, M.D.
• Nicole Marie Defelice, MSW
• Eric Delgado

• Family Medicine Physician in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.