NPIMap

Organization Active NPI

Klamath Medical Clinic PC

  • Family Medicine Physician
  • Klamath Falls, OR
National Provider Identifier
1396774378
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KLAMATH MEDICAL CLINIC PC
Practice address
1905 Main St
Klamath Falls, OR 97601-2638
Phone
(541) 882-4691
Fax
(541) 883-5211
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Randal A Machado, MD
Title
President of Board of Directors
Phone
(541) 882-4691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1905 Main St
Klamath Falls, OR 97601-2638

Mailing address

1905 Main St
Klamath Falls, OR 97601-2638
Phone (541) 882-4691

National Provider Directory

National Provider Directory

Locations

1905 Main St
Klamath Falls, OR 97601
Phone (541) 882-4691

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1396774378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 MAIN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976012638",
            "telephone_number": "541-882-4691",
            "fax_number": "541-883-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 MAIN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976012638",
            "telephone_number": "541-882-4691",
            "fax_number": "541-883-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAMATH MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OF BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "541-882-4691",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.