NPIMap

Organization Active NPI

John C Fremont Healthcare District

  • Home Health Agency
  • Mariposa, CA
National Provider Identifier
1912020488
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
040000011 Issued in CA
Legal business name
JOHN C FREMONT HEALTHCARE DISTRICT
Practice address
5108 Highway 140
Suite C
Mariposa, CA 95338-9524
Phone
(209) 966-3800
Fax
(209) 966-3778
NPI assigned
Apr 9, 2007
Last updated
Jan 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Alan G Macphee
Title
Chief Executive Officer
Phone
(209) 966-3631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 040000011 CA Primary

Addresses

Primary practice location

5108 Highway 140
Suite C
Mariposa, CA 95338-9524

Mailing address

PO Box 216
Mariposa, CA 95338-0216
Phone (209) 966-3631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040212000193 CA Part B Supplier - Clinic/Group Practice 5890689533 Receives reassigned benefits from 22 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coulterville, CA; Mariposa, CA

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1912020488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953380216",
            "telephone_number": "209-966-3631",
            "fax_number": "209-966-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 HIGHWAY 140",
            "address_2": "SUITE C",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389524",
            "telephone_number": "209-966-3800",
            "fax_number": "209-966-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C FREMONT HEALTHCARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "MACPHEE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "209-966-3631"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "040000011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mariposa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.