Active NPI
John Ross Nayduch, MD
- Family Medicine Physician
- Chico, CA
National Provider Identifier
1699760975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G80231
- Practice address
- 114 Mission Ranch Blvd
Ste 10
Chico, CA 95926-2186 - Phone
- (530) 894-0500
- Fax
- (530) 345-8532
- NPI assigned
- Sep 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G80231 | CA | Primary |
Addresses
Primary practice location
114 Mission Ranch Blvd
Ste 10
Chico, CA 95926-2186
Mailing address
114 Mission Ranch Blvd
Ste 10
Chico, CA 95926-2186
Phone (530) 894-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G802310 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.68 of 100
- Quality
- 91.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80231 | CA | MD | Pharmacist |
| G80231 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enloe Medical Center | Past | Accepting new patients |
Interoperability endpoints
- rnayduch15370@enloedirect.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Chico, CA
- NPI 1417901091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250035200000",
"number": "1699760975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 MISSION RANCH BLVD",
"address_2": "STE 10",
"city": "CHICO",
"state": "CA",
"postal_code": "959262186",
"telephone_number": "530-894-0500",
"fax_number": "530-345-8532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 MISSION RANCH BLVD",
"address_2": "STE 10",
"city": "CHICO",
"state": "CA",
"postal_code": "959262186",
"telephone_number": "530-894-0500",
"fax_number": "530-345-8532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYDUCH",
"first_name": "JOHN",
"middle_name": "ROSS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2009-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G80231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G802310",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.