NPIMap

Organization Active NPI

John C. Fremont Healthcare District

  • Family Medicine Physician
  • Mariposa, CA
National Provider Identifier
1487877908
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
040000108 Issued in CA
Legal business name
JOHN C. FREMONT HEALTHCARE DISTRICT
Practice address
5186 Hospital Rd
Mariposa, CA 95338-9524
Phone
(209) 966-3631
Fax
(209) 966-3776
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Alan G Macphee
Title
Chief Executive Officer
Phone
(209) 966-3631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 040000108 CA Primary

Addresses

Primary practice location

5186 Hospital Rd
Mariposa, CA 95338-9524

Mailing address

PO Box 216
Mariposa, CA 95338-0216
Phone (209) 966-3631

Other identifiers 1

IdentifierTypeStateIssuer
RHM-08605-FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
John C Fremont Healthca17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1487877908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953380216",
            "telephone_number": "209-966-3631",
            "fax_number": "209-966-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5186 HOSPITAL RD",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389524",
            "telephone_number": "209-966-3631",
            "fax_number": "209-966-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. FREMONT HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "MACPHEE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "209-966-3631"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "040000108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM-08605-F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mariposa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.