NPIMap

Individual provider Active NPI

Adam M Holleran, M.D.

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1568627602
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A113103 Issued in CA
Practice address
2930 Barnard St Unit 7301
San Diego, CA 92110-5729
Phone
(607) 725-0484
NPI assigned
Jul 28, 2008
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A113103 CA Primary

Addresses

Primary practice location

2930 Barnard St Unit 7301
San Diego, CA 92110-5729

Mailing address

2930 Barnard St Unit 7301
San Diego, CA 92110-5729
Phone (607) 725-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150511000281 CA Practitioner - Orthopedic Surgery 6406175652 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Sutter Coast HospitalGroup PAC ID 9436148111, 29 clinicians

Practice addresses (Care Compare)

210 Canal St
King City, CA 93930-3432
Phone (931) 385-7100

780 E Washington Blvd
Crescent City, CA 95531-8397
Phone (707) 464-6715

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
57.99
Promoting interoperability
100
Improvement activities
40
Cost
72.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement18
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113103CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Jun 22, 2021 Accepting new patients
Sutter Coast Hospital CurrentSince Dec 26, 2021 Accepting new patients
Sutter Coast Hospital Current Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Jun 22, 2021 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

780 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-5974

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

210 Canal St
King City, CA 93930
Phone (931) 385-7100

300 Canal St
King City, CA 93930
Phone (831) 385-6000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aholleran347761@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1568627602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 BARNARD ST UNIT 7301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105729",
            "telephone_number": "607-725-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 BARNARD ST UNIT 7301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105729",
            "telephone_number": "607-725-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLERAN",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A113103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.