John Ellsworth Vankirk, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G24833 Issued in CA

Practice address

235 Amherst Ave
San Mateo, CA 94402-2201

Phone

(650) 342-1118

Fax

(650) 579-2850

NPI assigned

Sep 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1881843068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 AMHERST AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022201",
            "telephone_number": "650-342-1118",
            "fax_number": "650-579-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 AMHERST AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022201",
            "telephone_number": "650-342-1118",
            "fax_number": "650-579-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKIRK",
        "first_name": "JOHN",
        "middle_name": "ELLSWORTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G24833",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G24833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Van
• Jennifer Lee Vanaman, ASW
• Michael Joseph Vanandel, MS
• Joshua P Vanderschaaf, PSYD
• Daniel George Vanisi
• Maria De Lourdes Vargas Figueroa
• Tania Vargas-Reyes
• Elizabeth H. Vargas
• Jennifer Vargas, MASSAGE THERAPIST
• Kayla Danielle Vargas, BA

• Cardiovascular Disease Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.