Active NPI
Joseph I Idoni, MPH, PA
- Medical Physician Assistant
- Sanger, CA
National Provider Identifier
1841296936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 14788
- Practice address
- 2535 Jensen Ave
Sanger, CA 93657-2288 - Phone
- (559) 876-6070
- Fax
- (559) 876-6098
- NPI assigned
- Jun 22, 2005
- 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 | 14788 | CA | Primary |
Addresses
Primary practice location
2535 Jensen Ave
Sanger, CA 93657-2288
Mailing address
2535 Jensen Ave
Sanger, CA 93657-2288
Phone (559) 876-6070
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050321000960 | CA | Practitioner - Physician Assistant | 3072568278 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Classic Urgent Care a Medical Corporation
Practice addresses (Care Compare)
622 Academy Ave
Sanger, CA 93657-2423
Phone (559) 399-8940
Hospital & facility affiliations
- Clovis Community Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1841296936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 JENSEN AVE",
"city": "SANGER",
"state": "CA",
"postal_code": "936572288",
"telephone_number": "559-876-6070",
"fax_number": "559-876-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 JENSEN AVE",
"city": "SANGER",
"state": "CA",
"postal_code": "936572288",
"telephone_number": "559-876-6070",
"fax_number": "559-876-6098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDONI",
"first_name": "JOSEPH",
"middle_name": "I",
"credential": "MPH, PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "14788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanger, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.