Active NPI
Peter Demerest Vanhouten, M.D.
- General Practice Physician
- Nevada City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G43114
- Practice address
- 15301 Tyler Foote Rd.
Nevada City, CA 95959-9318 - Phone
- (530) 292-3478
- Fax
- (530) 292-4296
- NPI assigned
- May 1, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | G43114 | CA | Primary |
Addresses
Primary practice location
15301 Tyler Foote Rd.
Nevada City, CA 95959-9318
Mailing address
14618 Tyler Foote Rd. #111
Nevada City, CA 95959-9318
Phone (530) 478-7763
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
- Family Practice
- Education
- University of California, San Francisco School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Western Sierra Medical Clinic Inc
Practice addresses (Care Compare)
8676 Marysville Rd
Oregon House, CA 95962-9718
Phone (530) 292-3478
PO Box
Suite 286
Downieville, CA 95936-0286
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G43114 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Sierra Medical Clinic, Inc. | Current | Accepting new patients | |
| Sierra Family Medical Clinic Inc | Current | Accepting new patients | |
| Western Sierra Medical Clinic, Inc. | Current | Accepting new patients | |
| Western Sierra Medical Clinic, Inc. | Current | Accepting new patients | |
| Western Sierra Medical Clinic, Inc. | Past | Accepting new patients |
Locations
1345 Whispering Pines Ln
Grass Valley, CA 95945
Phone (530) 265-7895
15301 Tyler Foote Rd
Nevada City, CA 95959
Phone (530) 292-3478
8676 Marysville Rd
Oregon House, CA 95962
Phone (530) 292-3478
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- peter.vanhouten@wsmc1.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Nevada City, CA
- NPI 1316169618
-
- Federally Qualified Health Center (FQHC)
- Nevada City, CA
- NPI 1558140640
-
- Federally Qualified Health Center (FQHC)
- Nevada City, CA
- NPI 1427827161
-
- Federally Qualified Health Center (FQHC)
- Oregon House, CA
- NPI 1780463257
-
- Federally Qualified Health Center (FQHC)
- Grass Valley, CA
- NPI 1063496396
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1841411758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14618 TYLER FOOTE RD. #111",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959599318",
"telephone_number": "530-478-7763",
"fax_number": "530-292-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15301 TYLER FOOTE RD.",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959599318",
"telephone_number": "530-292-3478",
"fax_number": "530-292-4296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHOUTEN",
"first_name": "PETER",
"middle_name": "DEMEREST",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G43114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.