John W. Alchemy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A55085 Issued in CA

Practice address

1221 N Dutton Ave
Santa Rosa, CA 95401-4607

Phone

(707) 543-8360

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John William Pruitt Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.alchemy.1@13700.direct.athenahealth.com

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.

• City Health, a Medical Corporation

  dba City Health Urgent Care

  • Multi-Specialty Clinic/Center
  • San Leandro, CA
  • NPI 1477940187

  Family Medicine

  Medicare reassignment NPD
• Synergy Medical Group a Professional Corporation

  • Chiropractor
  • Santa Rosa, CA
  • NPI 1083706683
  Medicare reassignment NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Brea, CA
  • NPI 1871607762
  NPD (past)
• UCSF Health Community Hospitals

  dba UCSF Health Hyde Hospital

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1316061997
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659443307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 MIDDLEBROOK CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041959",
            "telephone_number": "707-569-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N DUTTON AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014607",
            "telephone_number": "707-543-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCHEMY",
        "first_name": "JOHN",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A55085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A550850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "PRUITT",
            "middle_name": "WILLIAM",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Albert, OTR/L
• Maylete Guadalupe Alberto Cisneros
• Miguel Alcala, LCSW
• Esperanza Alcaraz Cruz, FNP
• Alchemical Counseling Services Licensed Clinical Social Worker, Inc
• Justine Alcocer, MS OTR/L SWC
• Marisa Louise Aldaco
• Aldea, Inc.
• Katherine Aldrich, NP
• Brijida Christina Aleman

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, 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 Jul 8, 2007; 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.

Verify at the official NPI Registry.