NPIMap

John Brennan Krpan, D.O.

Individual provider Active NPI Family Medicine Physician · Angels Camp, CA

NPI 1992700876 · NPPES record last updated Jun 19, 2008

Key facts

NPI
1992700876
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
20A6983 (CA)
Practice address
1300 Kurt Drive
Suite 105
Angels Camp, CA 95222
Phone
(209) 736-2359
Fax
(209) 736-8094
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 10

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 20

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

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Twain Medical Center (27 clinicians)

Practice addresses (Care Compare)

2182 Hwy 4
Suite A100
Arnold, CA 95223-7281
Phone (209) 754-9232

590 Stanislaus Ave
Angels Camp, CA 95222-9355
Phone (209) 736-0813

768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone (209) 754-3521

Hospital & facility affiliations

  • Iron Point Home Health Care Inc Home health agency · Folsom, CA · CCN 553167
  • United Home Care of Northern California Home health agency · Jackson, CA · CCN 557014
  • Home Health of California Inc Home health agency · Stockton, CA · CCN 559123
  • Careone Home Health and Hospice, Inc Home health agency · Salida, CA · CCN 059401
  • Adventist Health Home Care Services Home health agency · Sonora, CA · CCN 557561
  • Adventist Health Home Care Services Hospice · Sonora, CA · CCN 051609
  • Mark Twain Medical Center Hospital · San Andreas, CA · CCN 051332
  • Adventist Health Sonora Hospital · Sonora, CA · CCN 050335
  • Sutter Amador Hospital Hospital · Jackson, CA · CCN 050014

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041213000991 CA Practitioner - Family Practice
Practitioner - General Practice		 3476510231 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6983CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital Current
since Sep 22, 2010		 Accepting new patients
Sonora Community Hospital Current Accepting new patients
San Joaquin Faculty Medical Group Current
since Sep 27, 2018		 Accepting new patients
Sonora Community Hospital Current
since Sep 22, 2010		 Accepting new patients
Mark Twain Medical Center Current
since Jan 1, 2020		 Accepting new patients
Christopher J Krpan DO PSC Past Accepting new patients

Locations

23 N Main St
Angels Camp, CA 95222
Phone (209) 736-9130

1300 Kurt Dr
Ste 105
Angels Camp, CA 95222
Phone (209) 736-1147

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

702 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 754-0870

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

14540 State Highway 108
Sonora, CA 95370
Phone (209) 532-3167

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6983 CA Yes

Addresses

Primary practice location

1300 Kurt Drive
Suite 105
Angels Camp, CA 95222

Mailing address

PO Box 102
Murphys, CA 95247-0102
Phone (209) 736-2359

Other identifiers

IdentifierTypeStateIssuer
00AX69830MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2008.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1992700876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "MURPHYS",
            "state": "CA",
            "postal_code": "952470102",
            "telephone_number": "209-736-2359",
            "fax_number": "209-736-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 KURT DRIVE",
            "address_2": "SUITE 105",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "95222",
            "telephone_number": "209-736-2359",
            "fax_number": "209-736-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRPAN",
        "first_name": "JOHN",
        "middle_name": "BRENNAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX69830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angels Camp, CA

All providers in Angels Camp, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.