Individual provider Active NPI

Linda Grace Ottemoeller, M.D.

  • Gynecology Physician
  • Merced, CA
National Provider Identifier
1912978115
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G67412 Issued in CA
Practice address
3349 G St Ste B
Merced, CA 95340-0978
Phone
(209) 349-8459
Fax
(209) 349-8140
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G67412 CA Primary

Addresses

Primary practice location

3349 G St Ste B
Merced, CA 95340-0978

Mailing address

3349 G St Ste F
Merced, CA 95340-0978
Phone (209) 349-8459

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000085 CA Practitioner - Obstetrics/Gynecology 2567642432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Timothy S Johnston MD PCGroup PAC ID 1456638238, 9 clinicians

Practice addresses (Care Compare)

3349 G St
Suite B
Merced, CA 95340-0978
Phone 20934984592245

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Merced, CA, CCN 050444

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vepema Laborist Medical Group, Inc. CurrentSince Jul 22, 2024 Accepting new patients
Golden Valley Health Center CurrentSince Aug 29, 2023 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Timothy S. Johnston, M.D. PC CurrentSince Oct 16, 2023 Accepting new patients
Golden Valley Health Centers CurrentSince Aug 29, 2023 Accepting new patients
Timothy S. Johnston, M.D. PC Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

3349 G St
Ste B
Merced, CA 95340
Phone (209) 385-2240

3349 G St
Ste F
Merced, CA 95340
Phone (209) 349-8459

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1912978115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 G ST STE F",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400978",
            "telephone_number": "209-349-8459",
            "fax_number": "209-580-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 G ST STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400978",
            "telephone_number": "209-349-8459",
            "fax_number": "209-349-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEMOELLER",
        "first_name": "LINDA",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G67412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.