NPIMap

Individual provider Active NPI

John Aryanpur, M.D.

  • Neurological Surgery Physician
  • Eureka, CA
National Provider Identifier
1578616686
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G76773 Issued in CA
Practice address
2752 Harrison Ave
Suite a
Eureka, CA 95501-4738
Phone
(707) 268-0190
Fax
(707) 269-3791
NPI assigned
Jan 19, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G76773 CA Primary

Addresses

Primary practice location

2752 Harrison Ave
Suite a
Eureka, CA 95501-4738

Mailing address

2752 Harrison Ave
Suite a
Eureka, CA 95501-4738
Phone (707) 268-0190

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jaryanpur1657449@oc.providencedirect.org

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
I20080424000382 CA Practitioner - Neurosurgery 3870569882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Johns Hopkins University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

1621 W Imola Ave
Napa, CA 94559-4721
Phone (707) 251-4280

2675 Harris St
Eureka, CA 95503-4806
Phone (707) 269-0644

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121

2710 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 267-2060

500 Doyle Park Dr
Santa Rosa, CA 95405-4559

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76773CAMDPharmacist
G76773CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Confermed of California PC CurrentSince Nov 8, 2024 Accepting new patients
Providence Medical Foundation CurrentSince Jul 19, 2009 Accepting new patients
Providence Medical Foundation CurrentSince Jul 19, 2009 Accepting new patients
St. Joseph Health Northern California, LLC PastSince Jan 1, 2020 Accepting new patients
Confermed PC Past Accepting new patients
Northcoast Neurosurgical Associates a Medical Corporation Neurological Surgery PastSince Sep 28, 2007 Accepting new patients

Locations

200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805

2675 Harris St
Eureka, CA 95503
Phone (707) 269-0644

2752 Harrison Ave
#A
Eureka, CA 95501
Phone (707) 268-0190

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

11 Silver St
Unit 856
Middletown, CT 06457

Interoperability endpoints

  • Direct secure messaging: jaryanpur1657449@oc.providencedirect.org

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Providence Redwood Memorial HospitalFortuna, CA, CCN 051318 Hospital Corporate Director Oct 1, 2020
Providence Queen of the Valley Medical CenterNapa, CA, CCN 050009 Hospital Corporate Director Jan 1, 2020
Providence St. Joseph HospitalEureka, CA, CCN 050006 Hospital Corporate Director Jan 1, 2020
Providence Redwood Memorial HospitalFortuna, CA, CCN 05Z318 Hospital Corporate Director Jan 1, 2020
Providence Queen of the Valley Medical CenterNapa, CA, CCN 05T009 Hospital Corporate Director Jan 1, 2020
Providence Santa Rosa Memorial HospitalSanta Rosa, CA, CCN 050174 Hospital Corporate Director Jan 1, 2020
Providence Santa Rosa Memorial HospitalSanta Rosa, CA, CCN 05T174 Hospital Corporate Director Jan 1, 2020
Petaluma Valley HospitalPetaluma, CA, CCN 050136 Hospital Corporate Director Jan 1, 2021
Healdsburg HospitalHealdsburg, CA, CCN 05Z321 Hospital Corporate Director Jan 1, 2021
Healdsburg HospitalHealdsburg, CA, CCN 051321 Hospital Corporate Director Jan 1, 2021
Healdsburg HospitalHealdsburg, CA, CCN 555590 Skilled nursing facility Corporate Director Jan 1, 2021
Providence Family PracticeFortuna, CA, CCN 058698 Rural health clinic Corporate Director Jan 1, 2020

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 18

Organizations & group practices 8

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 3

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1578616686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 HARRISON AVE",
            "address_2": "SUITE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014738",
            "telephone_number": "707-268-0190",
            "fax_number": "707-269-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 HARRISON AVE",
            "address_2": "SUITE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014738",
            "telephone_number": "707-268-0190",
            "fax_number": "707-269-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARYANPUR",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G76773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaryanpur1657449@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2675 Harris St",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955034806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.