Individual provider Active NPI

Jonathan D Osborne, D.O.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1861711673
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11216 Issued in CA
Practice address
1755 Court St
Redding, CA 96001-1721
Phone
(530) 247-8800
Fax
(530) 241-1174
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A11216 CA Primary

Addresses

Primary practice location

1755 Court St
Redding, CA 96001-1721

Mailing address

743 Sunriver LN
Redding, CA 96001-0167
Phone (530) 604-8022

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 6, 2016 through Jun 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
11216CAMDAcupuncturist
20A11216CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vesper Medical Care PLLC CurrentSince Apr 1, 2021 Accepting new patients
Juniper Healthcare Current Accepting new patients

Locations

3689 Eureka Way
Redding, CA 96001
Phone (530) 244-4577

Interoperability endpoints

  • FHIR API: https://fhir.ethizo.com/api/4.0.0

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1861711673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 SUNRIVER LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010167",
            "telephone_number": "530-604-8022",
            "fax_number": "530-241-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011721",
            "telephone_number": "530-247-8800",
            "fax_number": "530-241-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.