Active NPI
Jon Michael Karch, MD
- Hospitalist Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 1025380
- Practice address
- 30 Mark West Springs Rd
Santa Rosa, CA 95403-1436 - Phone
- (707) 576-4000
- Fax
- (707) 576-4635
- NPI assigned
- Apr 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 1025380 | CA | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 1025380 | CA | |
| Hospitalist Physician | 208M00000X | 1025380 | CA | Primary |
Addresses
Primary practice location
30 Mark West Springs Rd
Santa Rosa, CA 95403-1436
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (707) 576-4000
Other practice location 1
34 Mark West Springs Rd
Santa Rosa, CA 95403-1766
Phone (707) 576-4500
Other practice location 2
2455 Bennett Valley Rd Ste C219
Santa Rosa, CA 95404-5651
Phone (707) 524-4690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A119850 | Other | CA | STATE MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Pennsylvania State University College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210
200 W Ctr St Promenade
Anaheim, CA 92805-3960
400 N McDowell Blvd
Petaluma, CA 94954-2339
Phone (707) 778-2631
500 Doyle Park Dr
Santa Rosa, CA 95405-4559
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119850 | CA | MD | Marriage & Family Therapist |
| 1025380 | CA | MD | Critical Care Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Anesthesia & Analgesia Medical Group, Inc. | Anesthesiology | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients |
Locations
2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229
1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025
1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901
400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111
2455 Bennett Valley Rd
Ste C219
Santa Rosa, CA 95404
Phone (707) 522-1800
30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
Interoperability endpoints
- jkarch302175@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Santa Rosa, CA
- NPI 1659320984
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Urology Physician
- Apple Valley, CA
- NPI 1053616706
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mendocino Coast District Hospital
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
dba Petaluma Valley Hospital
- General Acute Care Hospital
- Petaluma, CA
- NPI 1235162645
-
dba Sonoma Valley Hospital
- General Acute Care Hospital
- Sonoma, CA
- NPI 1710063870
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1710203880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "707-576-4000",
"fax_number": "707-576-4635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MARK WEST SPRINGS RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954031436",
"telephone_number": "707-576-4000",
"fax_number": "707-576-4635"
}
],
"practiceLocations": [
{
"address_1": "34 Mark West Springs Rd",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954031766",
"country_code": "US",
"telephone_number": "707-576-4500",
"fax_number": "707-541-9108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2455 Bennett Valley Rd Ste C219",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954045651",
"country_code": "US",
"telephone_number": "707-524-4690",
"fax_number": "707-524-4687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARCH",
"first_name": "JON",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "1025380",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "CA",
"license": "1025380",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "1025380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "A119850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.
- 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.