Active NPI
Judeth McGann, MD
- Pediatrics Physician
- Woodland, CA
National Provider Identifier
1649232463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G88520
- Practice address
- 632 W Gibson Rd
Woodland, CA 95695-5169 - Phone
- (530) 668-2600
- Fax
- (530) 668-4839
- NPI assigned
- Apr 5, 2006
- Last updated
- Oct 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G88520 | CA | Primary |
| Pediatric Hematology & Oncology Physician | 2080P0207X | MD26386 | OR |
Addresses
Primary practice location
632 W Gibson Rd
Woodland, CA 95695-5169
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other practice location 1
501 N Graham St
Suite 355
Portland, OR 97227-1654
Phone (503) 413-2560
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
| License | State | Type | Specialty |
|---|---|---|---|
| G88520 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1649232463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 W GIBSON RD",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956955169",
"telephone_number": "530-668-2600",
"fax_number": "530-668-4839"
}
],
"practiceLocations": [
{
"address_1": "501 N Graham St",
"address_2": "Suite 355",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271654",
"country_code": "US",
"telephone_number": "503-413-2560",
"fax_number": "503-413-2510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGANN",
"first_name": "JUDETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G88520",
"primary": true
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "OR",
"license": "MD26386",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.