Active NPI
John Standish Adams, M.D.
- Pediatric Adolescent Medicine Physician
- Sacramento, CA
National Provider Identifier
1588944201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- A119705
- Practice address
- 2521 Stockton Blvd
Sacramento, CA 95817-2207 - Phone
- (916) 734-5387
- Fax
- (916) 456-2236
- NPI assigned
- Aug 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A119705 | CA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | A119705 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A117705 | CA | |
| Pediatrics Physician | 208000000X | 262435 | MA |
Addresses
Primary practice location
2521 Stockton Blvd
Sacramento, CA 95817-2207
Mailing address
2815 Stockton Blvd
Sacramento, CA 95816
Phone (916) 734-5387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141002002188 | CA | Practitioner - Other (Physician) | 1254551872 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A117705 | CA | MD | Internal Medicine Physician |
| A119705 | CA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the University of Ca | Pediatrics | Current | Accepting new patients |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Cambridge Health Alliance | Past | Accepting new patients |
Locations
10850 White Rock Rd
Rancho Cordova, CA 95670
2521 Stockton Blvd
Ste 3200
Sacramento, CA 95817
Phone (916) 734-3112
2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1588944201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95816",
"telephone_number": "916-734-5387",
"fax_number": "916-456-2236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172207",
"telephone_number": "916-734-5387",
"fax_number": "916-456-2236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JOHN",
"middle_name": "STANDISH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-25",
"last_updated": "2024-02-16",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A119705",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "A119705",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A117705",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "262435",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.