Active NPI
Jon Edward Ferguson, D.O.
- Nephrology Physician
- Chico, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 20A11757
- Practice address
- 3011 Ceres Ave Ste 100
Chico, CA 95973-5637 - Phone
- (602) 317-5928
- NPI assigned
- May 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R757 | AZ | |
| Nephrology Physician | 207RN0300X | 20A11757 | CA | Primary |
Addresses
Primary practice location
3011 Ceres Ave Ste 100
Chico, CA 95973-5637
Mailing address
3011 Ceres Ave
Ste 100
Chico, CA 95973-5635
Phone (530) 899-7090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902018294 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110706000074 | CA | Practitioner - Nephrology | 0042308280 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Enloe Medical CenterEnloe Health and Wellness
Practice addresses (Care Compare)
1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470
3011 Ceres Ave
Suite 100
Chico, CA 95973-5637
Phone (530) 899-7090
Hospital & facility affiliations
- DaVita Bidwell Dialysis
- Rai-Ceres Ave-Chico
- DaVita Chico Dialysis Center
- DaVita South Chico Dialysis Center
- Enloe Health
- Oroville Hospital
- St Elizabeth Community Hospital
- Adventist Health Clearlake
- Colusa Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.34 of 100
- Quality
- 44.53
- Improvement activities
- 40
- Cost
- 88.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11757 | CA | MD | Mental Health Counselor |
| R757 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enloe Medical Center | Current | Accepting new patients | |
| Mona I Sarbu | Nephrology | Current | Accepting new patients |
| Enloe Medical Center | Current | Accepting new patients | |
| Jon Ferguson DO Corp | Nephrology | Current | Accepting new patients |
| Bloomington Kidney & Hypertension Specialists PC | Nephrology | Past | Accepting new patients |
| Affiliated Hospitalists, PLC | Internal Medicine | Past | Accepting new patients |
Locations
1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470
3011 Ceres Ave
Ste 100
Chico, CA 95973
Phone (530) 332-3815
Interoperability endpoints
- jferguson15232@enloedirect.org
Organizations & group practices 23
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.
-
- Community/Retail Pharmacy
- Chico, CA
- NPI 1912949538
-
- Obstetrics & Gynecology Physician
- Chico, CA
- NPI 1023420726
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Chico, CA
- NPI 1164885604
-
- Otolaryngology Physician
- Chico, CA
- NPI 1265863179
-
- Durable Medical Equipment & Medical Supplies
- Chico, CA
- NPI 1275616302
-
- Hospitalist Physician
- Chico, CA
- NPI 1285327510
-
- Neurological Surgery Physician
- Chico, CA
- NPI 1336580422
-
- Home Health Agency
- Chico, CA
- NPI 1376626903
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chico, CA
- NPI 1164596490
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chico, CA
- NPI 1245293356
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chico, CA
- NPI 1548221989
Dialysis facility
-
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1902018294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 CERES AVE",
"address_2": "STE 100",
"city": "CHICO",
"state": "CA",
"postal_code": "959735635",
"telephone_number": "530-899-7090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 CERES AVE STE 100",
"city": "CHICO",
"state": "CA",
"postal_code": "959735637",
"telephone_number": "602-317-5928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "JON",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R757",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "20A11757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902018294",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.