Placerville Family Practice Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PLACERVILLE FAMILY PRACTICE MEDICAL GROUP, INC

Practice address

905 Spring St
Placerville, CA 95667-4511

Phone

(530) 626-8300

Fax

(530) 626-1344

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Gary W.O. Young, M.D.

Title

President

Phone

(530) 626-8300

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Mark E. Holthouse, M.D.

  • Family Medicine Physician
  • Cameron Park, CA
  • NPI 1740217207
  NPD
• Lori S Heuser, PA-C

  • Medical Physician Assistant
  • Placerville, CA
  • NPI 1649352865
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508884073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SPRING ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674511",
            "telephone_number": "530-626-8300",
            "fax_number": "530-626-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SPRING ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674511",
            "telephone_number": "530-626-8300",
            "fax_number": "530-626-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACERVILLE FAMILY PRACTICE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W.O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-626-8300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin L. Philleo, PT, DPT
• Dale Ross Pierce, DDS
• Gary M. Pinkley, PHARMD
• Vanessa Leigh Piper
• Marcia M Pizzio
• Placerville Internal Medicine Inc
• Placerville Pines Care Center, Inc.
• Placerville Radiology Medical Group Inc
• Placerville Uesd
• Larelle Chere Plubell, D.C.

• Family Medicine Physician in Placerville, CA
• Providers in Placerville, 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 Aug 22, 2020; 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.