Individual provider Active NPI

Margaret Anna Jolley, MD

  • Family Medicine Physician
  • Klamath Falls, OR
National Provider Identifier
1689019853
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD192163 Issued in OR
Practice address
2821 Daggett Ave Ste 100
Klamath Falls, OR 97601-1106
Phone
(541) 274-6733
Fax
(541) 274-2006
NPI assigned
May 1, 2013
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X A136179 CA
Family Medicine Physician 207Q00000X MD192163 OR Primary

Addresses

Primary practice location

2821 Daggett Ave Ste 100
Klamath Falls, OR 97601-1106

Mailing address

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-6564

Other practice location 1

3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone (805) 652-6228

Other practice location 2

2801 Daggett Ave
Klamath Falls, OR 97601-7150
Phone (541) 274-4611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150814013578 CA Practitioner - Family Practice 5294040549 Reassigns benefits to 3 organizations
I20190903000753 OR Practitioner - Family Practice 5294040549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Diego School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians
Mountain Valleys Health CentersGroup PAC ID 4284685538, 33 clinicians

Practice addresses (Care Compare)

2801 Daggett Ave
Klamath Falls, OR 97601-7150
Phone (541) 274-6221

43658 Hwy 299
Fall River Mills, CA 96028
Phone (530) 999-9020

498 Main St
Tulelake, CA 96134-9411
Phone (530) 999-9060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136179CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Aug 5, 2019 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Mountain Valleys Health Centers CurrentSince Jul 22, 2021 Accepting new patients
Mountain Valleys Health Centers Current Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Jun 1, 2016 Accepting new patients
Last Frontier Healthcare District CurrentSince Jul 11, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Mountain Valleys Health Centers CurrentSince Jul 22, 2021 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Aug 5, 2019 Accepting new patients
Mayers Memorial Hospital District Current Accepting new patients

Locations

1111 N Nagle St
Alturas, CA 96101
Phone (530) 708-8800

120 S Main St
Ste A
Alturas, CA 96101
Phone (530) 233-7054

37491 Enterprise Dr
Burney, CA 96013
Phone (530) 335-5457

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

610 W 3rd St
Dorris, CA 96023
Phone (530) 397-8411

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

101 Old McCloud Rd
Mount Shasta, CA 96067
Phone (530) 926-5100

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

950 S Euclid Ave
San Diego, CA 92114
Phone (619) 662-4127

50 Alamo Ave
Weed, CA 96094
Phone (530) 938-3491

2801 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 274-4510

2821 Daggett Ave
Ste 100
Klamath Falls, OR 97601
Phone (541) 274-4611

2821 Daggett Ave
Ste 200
Klamath Falls, OR 97601
Phone (541) 274-8400

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

Interoperability endpoints

  • Direct secure messaging: mjolley678507@direct.ochin.org
  • Direct secure messaging: mjolley80444@scrippshlth.medalliesdirect.net

Organizations & group practices 11

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 2

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1689019853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "541-274-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 DAGGETT AVE STE 100",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "541-274-6733",
            "fax_number": "541-274-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3291 Loma Vista Rd",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930033099",
            "country_code": "US",
            "telephone_number": "805-652-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Daggett Ave",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976017150",
            "country_code": "US",
            "telephone_number": "541-274-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLLEY",
        "first_name": "MARGARET",
        "middle_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A136179",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD192163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.