Jeffrey Brian Carlson, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0116031116 Issued in VA

Practice address

114 Mission Ranch Blvd
Ste 10
Chico, CA 95926-5137

Phone

(530) 894-0500

NPI assigned

Jun 5, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, CA2 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

Specialty

Internal Medicine

Education

Arizona College of Osteopathic Medicine Mid Western University, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mission Ranch Primary Care IncGroup PAC ID 4688956634, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
• Butte Home Health and Hospice Home health agency, Chico, CA, CCN 057679
• Enloe Health Hospital, Chico, CA, CCN 050039
• Oroville Hospital Hospital, Oroville, CA, CCN 050030
• Seneca District Hospital Hospital, Chester, CA, CCN 051327

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBDAAA
• Direct secure messaging: jcarlson55794@enloedirect.org

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.

• Mission Ranch Primary Care Inc

  • Family Medicine Physician
  • Chico, CA
  • NPI 1316497910

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Cardiovascular Disease Physician
  • Marion, VA
  • NPI 1326159567
  Medicare reassignment NPD
• Blue Ridge Medical Management Corporation

  dba MSMG Uro Abg

  • Urology Physician
  • Abingdon, VA
  • NPI 1629362033
  NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1982553756
  NPD
• Enloe Medical Center

  • General Acute Care Hospital
  • Chico, CA
  • NPI 1417901091
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Butte Home Health Inc.

  • Home Health Agency
  • Chico, CA
  • NPI 1568492700
  Care Compare affiliation
• Enloe Medical Center

  • General Acute Care Hospital
  • Chico, CA
  • NPI 1417901091
  Care Compare affiliation
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269
  Care Compare affiliation
• Seneca Healthcare District

  • Critical Access Hospital
  • Chester, CA
  • NPI 1215116629
  Care Compare affiliation
• Seneca Healthcare District

  • Critical Access Hospital
  • Chester, CA
  • NPI 1396848677
  Care Compare affiliation
• Valley View Healthcare Services LLC

  • Home Health Agency
  • Chico, CA
  • NPI 1083207237
  Care Compare affiliation

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750642849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MISSION RANCH BLVD STE 10",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265137",
            "telephone_number": "530-894-0500"
        },
        {
            "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": "959265137",
            "telephone_number": "530-894-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34800 Bob Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921341098",
            "country_code": "US",
            "telephone_number": "619-532-8038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JEFFREY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116031116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Choices Inc.
• Renee Marie Carini, NP
• Shirley Carlquist, LVN
• Beverley Ruth Carlson
• Carl M. Carlson, LCSW
• Rhonda Louise Carlson, M.D.
• Tiffany Carlson, DO
• Mitchell Carluccio
• Kelly Barton Carmack
• Simon Zachary Carmack

• Internal Medicine Physician in Chico, CA
• Providers in Chico, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.