Active NPI
John R. Hoch, MD
- Family Medicine Physician
- Yucaipa, CA
National Provider Identifier
1770523995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G70570
- Practice address
- 33758 Yucaipa Blvd
Yucaipa, CA 92399-2243 - Phone
- (909) 795-9747
- Fax
- (909) 797-4426
- NPI assigned
- Jun 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G70570 | CA | Primary |
Addresses
Primary practice location
33758 Yucaipa Blvd
Yucaipa, CA 92399-2243
Mailing address
PO Box 2200
Redlands, CA 92373-0722
Phone (909) 793-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G705700 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G70570 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Current | Accepting new patients | |
| Beaver Medical Group P C | Family Medicine | Current | Accepting new patients |
| Beaver Medical Group P C | Family Medicine | Past | Accepting new patients |
Locations
1615 Orange Tree Ln
Redlands, CA 92374
Phone (909) 335-4102
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
13391 California St
Ste 1
Yucaipa, CA 92399
Phone (909) 795-9747
33758 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 795-9747
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.
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1770523995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2200",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923730722",
"telephone_number": "909-793-3311",
"fax_number": "909-796-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33758 YUCAIPA BLVD",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923992243",
"telephone_number": "909-795-9747",
"fax_number": "909-797-4426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCH",
"first_name": "JOHN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G70570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G705700",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.