Individual provider Active NPI

Jorge Rocha Millan, MD

  • Pediatrics Physician
  • Woodville, CA
National Provider Identifier
1689339558
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P3 Issued in CA
Practice address
16686 Road 168
Woodville, CA 93257-9246
Phone
(559) 686-9097
Fax
(559) 366-7060
NPI assigned
Nov 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P3 CA Primary

Addresses

Primary practice location

16686 Road 168
Woodville, CA 93257-9246

Mailing address

1201 N Cherry St
Tulare, CA 93274-2233
Phone (559) 685-4601

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220221002057 CA Practitioner - Pediatric Medicine 1759775562 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altura Centers for Health CurrentSince Jan 5, 2022 Accepting new patients
Altura Centers for Health Current Accepting new patients
Altura Centers for Health CurrentSince Jan 5, 2022 Accepting new patients

Locations

1201 N Cherry St
Tulare, CA 93274
Phone (559) 685-4622

1500 W Tulare Dr
Tulare, CA 93274
Phone (559) 686-9097

1101 N Cherry St
Tulare, CA 93274
Phone (559) 686-9097

1134 E Cartmill Ave
Tulare, CA 93274
Phone (559) 686-9097

1134 E Cartmill Ave
Ste B
Tulare, CA 93274

3035 E Bardsley Ave
Tulare, CA 93274
Phone (559) 685-4601

16686 Road 168
Woodville, CA 93257
Phone (559) 686-9097

Interoperability endpoints

  • Direct secure messaging: jorge.rocha.p1@direct.altura.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1689339558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742233",
            "telephone_number": "559-685-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16686 ROAD 168",
            "city": "WOODVILLE",
            "state": "CA",
            "postal_code": "932579246",
            "telephone_number": "559-686-9097",
            "fax_number": "559-366-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA MILLAN",
        "first_name": "JORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "P3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodville, CA

Sources for this page

Verify at the official NPI Registry.