NPIMap

Individual provider Active NPI

John Brennan Krpan, D.O.

  • Family Medicine Physician
  • Angels Camp, CA
National Provider Identifier
1992700876
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6983 Issued in 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
Last updated
Jun 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Twain Medical CenterGroup PAC ID 8820073711, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6983CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Faculty Medical Group CurrentSince Sep 27, 2018 Accepting new patients
Mark Twain Medical Center CurrentSince Jan 1, 2020 Accepting new patients
Sonora Community Hospital CurrentSince Sep 22, 2010 Accepting new patients
Sonora Community Hospital CurrentSince Sep 22, 2010 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Christopher J Krpan DO PSC Past Accepting new patients
Delta Sierra Medical Group, Inc PastSince Dec 7, 2025 Accepting new patients

Locations

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

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angels Camp, CA

Sources for this page

Verify at the official NPI Registry.