Individual provider Active NPI

Jonathan M Guy, MSPAS, PAC

  • Medical Physician Assistant
  • Redding, CA
National Provider Identifier
1447799457
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
55950 Issued in CA
Practice address
2420 Sonoma St Ste B
Redding, CA 96001-3033
Phone
(530) 999-2533
Fax
(530) 999-2532
NPI assigned
Feb 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004981RX OH
Medical Physician Assistant 363AM0700X 55950 CA Primary

Addresses

Primary practice location

2420 Sonoma St Ste B
Redding, CA 96001-3033

Mailing address

2420 Sonoma St Ste B
Redding, CA 96001-3033
Phone (530) 999-2533

Other practice location 1

141 Columbus Rd
Athens, OH 45701-1315
Phone (740) 592-4229

Other practice location 2

809 Farson St Unit 106
Belpre, OH 45714-1067
Phone (740) 373-8756

Other practice location 3

800 Grand Central Mall Ste 6
Vienna, WV 26105-4100
Phone (740) 373-8756

Other practice location 4

611 2nd St
Marietta, OH 45750-2123
Phone (740) 373-8756

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190214001347 CA Practitioner - Physician Assistant 2062784424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mendocino Community Health Clinic IncGroup PAC ID 6305755455, 57 clinicians

Practice addresses (Care Compare)

333 Laws Ave
Ukiah, CA 95482-6540
Phone (458) 292-2167

5335 Lakeshore Blvd
Lakeport, CA 95453-6123
Phone (707) 263-7725

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Lakeport, CA, CCN 057620
  • Silverline Staff Home Health Home health agency, Fremont, CA, CCN 559548
  • Sutter Lakeside Hospital Hospital, Lakeport, CA, CCN 051329
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301

Merit-based Incentive Payment System (MIPS)

Final score
90.74 of 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55950CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mendocino Community Health Clinic, Inc. CurrentSince Dec 3, 2023 Accepting new patients
Mendocino Community Health Clinic, Inc. Past Accepting new patients

Locations

5335 Lakeshore Blvd
#H
Lakeport, CA 95453

333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113

Interoperability endpoints

  • Direct secure messaging: jguy669554@direct.ochin.org
  • Direct secure messaging: jonathanguy@fso.gwaydirect.com

Organizations & group practices 3

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 5

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": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1447799457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 SONOMA ST STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013033",
            "telephone_number": "530-999-2533",
            "fax_number": "530-999-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 SONOMA ST STE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013033",
            "telephone_number": "530-999-2533",
            "fax_number": "530-999-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Columbus Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011315",
            "country_code": "US",
            "telephone_number": "740-592-4229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 Farson St Unit 106",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141067",
            "country_code": "US",
            "telephone_number": "740-373-8756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Grand Central Mall Ste 6",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "WV",
            "postal_code": "261054100",
            "country_code": "US",
            "telephone_number": "740-373-8756",
            "fax_number": "740-373-0091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 2nd St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457502123",
            "country_code": "US",
            "telephone_number": "740-373-8756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUY",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MSPAS, PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-23",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004981RX",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "55950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.