Individual provider Active NPI

John Ross Nayduch, MD

  • Family Medicine Physician
  • Chico, CA
National Provider Identifier
1699760975
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G80231 Issued in CA
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

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G802310MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
91.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80231CAMDPharmacist
G80231CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.