Individual provider Active NPI

John Robert McBride Jr., MD

  • General Practice Physician
  • Oakhurst, CA
National Provider Identifier
1558332668
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G49958 Issued in CA
Practice address
40232 Junction Dr
Oakhurst, CA 93644-8719
Phone
(559) 658-6420
Fax
(559) 658-6460
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G49958 CA Primary

Addresses

Primary practice location

40232 Junction Dr
Oakhurst, CA 93644-8719

Mailing address

40282 Junction Dr
Oakhurst, CA 93644
Phone (559) 658-6420

Other identifiers 1

IdentifierTypeStateIssuer
00G499580MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G49958CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakhurst Medical Group Inc PastSince Feb 21, 2006 Accepting new patients
Oakhurst Emergency Medicine Group Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1558332668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40282 JUNCTION DR",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "93644",
            "telephone_number": "559-658-6420",
            "fax_number": "559-658-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40232 JUNCTION DR",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936448719",
            "telephone_number": "559-658-6420",
            "fax_number": "559-658-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G49958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G499580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.