Active NPI
John J Willis, PA-C
- Medical Physician Assistant
- Yuba City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA13636
- Practice address
- 1429 Colusa Hwy
Yuba City, CA 95993-9092 - Phone
- (530) 674-7000
- Fax
- (530) 755-3219
- NPI assigned
- May 10, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA13636 | CA | Primary |
Addresses
Primary practice location
1429 Colusa Hwy
Yuba City, CA 95993-9092
Mailing address
2158 Acacia Ave
Sutter, CA 95982-2508
Phone (415) 265-0268
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
527 E St
Marysville, CA 95901-5529
Phone (530) 743-5300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13636 | CA | MD | Acupuncturist |
| PA13636 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afato Medical Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Marysville Clinic
- Internal Medicine Physician
- Marysville, CA
- NPI 1730497421
-
dba Regency Urgent Care
- Family Medicine Physician
- Yuba City, CA
- NPI 1134142524
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
-
dba Adventist Health and Rideout
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
-
dba Adventist Health Home Care Services
- Home Health Agency
- Yuba City, CA
- NPI 1639640089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831149194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2158 ACACIA AVE",
"city": "SUTTER",
"state": "CA",
"postal_code": "959822508",
"telephone_number": "415-265-0268",
"fax_number": "530-755-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 COLUSA HWY",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959939092",
"telephone_number": "530-674-7000",
"fax_number": "530-755-3219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA13636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
- Todd Williams, MENTAL HEALTH WORKER
- Charles Williamson
- Joseph Williamson
- Susan Louise Williamson, LCSW
- D. Anita Willis, R.P.T.
- Willow Glen Care Center
- Willow Glen Care Center
- Willow Glen Care Center
- Willow Glen Care Center (Sequoia Psychiatric Treatment Center)
- Wilson DMD a Professional Dental Corporation (Magnolia Sleep Solutions)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.