NPIMap

Organization Active NPI

Claydon Medical Group Inc

  • Primary Care Clinic/Center
  • Grass Valley, CA
National Provider Identifier
1922529031
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A143525 Issued in CA
Legal business name
CLAYDON MEDICAL GROUP INC
Practice address
150 Catherine LN Ste B
Grass Valley, CA 95945-5719
Phone
(530) 271-2100
Fax
(530) 271-2200
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Elizabeth M Claydon, MDNPI 1992140131
Title
Owner
Phone
(530) 271-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A143525 CA Primary

Addresses

Primary practice location

150 Catherine LN Ste B
Grass Valley, CA 95945-5719

Mailing address

150 Catherine LN Ste B
Grass Valley, CA 95945-5719
Phone (530) 271-2100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170828004722 CA Part B Supplier - Clinic/Group Practice 0345513255 Receives reassigned benefits from 3 practitioners
Practice locations: Grass Valley, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22193/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922529031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CATHERINE LN STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455719",
            "telephone_number": "530-271-2100",
            "fax_number": "530-271-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CATHERINE LN STE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455719",
            "telephone_number": "530-271-2100",
            "fax_number": "530-271-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYDON MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLAYDON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-271-2100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A143525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.