Active NPI
James M Vermeulen, PA
- Physician Assistant
- Oakdale, CA
National Provider Identifier
1972898419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10206
- Practice address
- 1425 W H St Ste 380
Oakdale, CA 95361-3592 - Phone
- (209) 847-0314
- Fax
- (209) 847-4175
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | PA10206 | CA | Primary |
Addresses
Primary practice location
1425 W H St Ste 380
Oakdale, CA 95361-3592
Mailing address
1425 W H St Ste 380
Oakdale, CA 95361-3592
Phone (209) 847-0314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10206 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1972898419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 W H ST STE 380",
"city": "OAKDALE",
"state": "CA",
"postal_code": "953613592",
"telephone_number": "209-847-0314",
"fax_number": "209-847-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 W H ST STE 380",
"city": "OAKDALE",
"state": "CA",
"postal_code": "953613592",
"telephone_number": "209-847-0314",
"fax_number": "209-847-4175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMEULEN",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA10206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.