James Pretorius, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C39386 Issued in CA

Practice address

8201 West Rd
Potter Valley, CA 95469-8700

Phone

(707) 743-1339

NPI assigned

Mar 23, 2006

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gold Country Emergency Physicians Medical Group Inc

  • Hospitalist Physician
  • Turlock, CA
  • NPI 1174825947
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1629038971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 WEST RD",
            "city": "POTTER VALLEY",
            "state": "CA",
            "postal_code": "954698700",
            "telephone_number": "707-743-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 WEST RD",
            "city": "POTTER VALLEY",
            "state": "CA",
            "postal_code": "954698700",
            "telephone_number": "707-743-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETORIUS",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C39386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpretorius1658178@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2700 Dolbeer St",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955014736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Phillips
• Damian Pickron
• Britney Pimentel
• Potter Valley Community Health Ctr
• Potter Valley Youth and Community Center, Inc.
• Redwood Community Services, Inc
• Redwood Community Services, Inc.
• Nathan Reitan
• Cynthia Rodgers
• Francisco Rodriguez

• Family Medicine Physician in Potter Valley, CA
• Providers in Potter Valley, 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 Nov 9, 2021; 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.