Active NPI
John Batin, P.A.-C
- Physician Assistant
- Yucca Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13442
- Practice address
- 57675 29 Palms Hwy
Ste 111
Yucca Valley, CA 92284-3098 - Phone
- (760) 365-8500
- Fax
- (760) 365-8599
- NPI assigned
- May 24, 2007
- Last updated
- Jan 12, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13442 | CA | Primary |
Addresses
Primary practice location
57675 29 Palms Hwy
Ste 111
Yucca Valley, CA 92284-3098
Mailing address
P.O Box 1163
Yucca Valley, CA 92286-4088
Phone (760) 228-2935
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 |
|---|---|---|---|---|
| I20130513000076 | CA | Order and Referring Only - Physician Assistant | 4486732203 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yucca Family Medical Care, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCGCDA
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Yucca Family Medical Care, Inc. | Rural health clinic | 5% Or Greater Direct Ownership Interest (49%) Corporate Officer (50%) W-2 Managing Employee (50%) |
Jan 8, 2008 Jan 8, 2008 Jan 8, 2008 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Primary Care Clinic/Center
- Yucca Valley, CA
- NPI 1942640511
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Yucca Valley, CA
- NPI 1386820702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1902017700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 1163",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922864088",
"telephone_number": "760-228-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57675 29 PALMS HWY",
"address_2": "STE 111",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922843098",
"telephone_number": "760-365-8500",
"fax_number": "760-365-8599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATIN",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA13442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.