DR. JON A PROCTOR MD
NPI 1245210582
Obstetrics & Gynecology - Reproductive Endocrinology in Fremont, CA

Q: What is Jon Proctor's NPI number?

The NPI number for Jon Proctor is 1245210582. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is Jon Proctor's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Q: When was this NPI record last updated?

The NPPES record for Jon Proctor was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 20, 2006PECOS Enrolled

39141 CIVIC CENTER DR, SUITE 350, FREMONT, CA 94538(510) 248-6900(510) 248-6980 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jon A Proctor Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON A PROCTOR MD (NPI 1245210582) is an individual reproductive endocrinology provider in Fremont, California, licensed in California (G87835) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245210582

Entity TypeIndividualMale

Primary Taxonomy207VE0102X

Provider Legal NameDR. JON A PROCTORCredential: MD

Location Address39141 CIVIC CENTER DR, SUITE 350Fremont, CA 94538-5818

Mailing Address1364 Briones CtPleasanton, CA 94588-5316 · (510) 248-6900 · Fax (510) 248-6980

Phone(510) 248-6900

Fax(510) 248-6980

Sole ProprietorNo

Enumeration DateJanuary 20, 2006

Last NPPES UpdateDecember 20, 2021

✔ NPI 1245210582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code207VE0102X

Licenses✔ Licensed in CA · G87835✔ Licensed in WA · MD00042176

Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

39141 CIVIC CENTER DR, Fremont, CA 94538

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jon A Proctor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW MEDE

Physical Therapist

39141 CIVIC CENTER DR
FREMONT, CA 94538

Alameda County (510) 794-9672

JOSE MIGUEL DESCANZO

Physical Therapist

39141 CIVIC CENTER DR
FREMONT, CA 94538

Alameda County (510) 794-9672

DR. KRANTHI KUMAR ACHANTA M.D

Surgery

39141 CIVIC CENTER DR, SUITE 335
FREMONT, CA 94538

Alameda County (510) 248-1450

BRIAN RICHARD BADDUKE M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

39141 CIVIC CENTER DR, SUITE 335
FREMONT, CA 94538

Alameda County (510) 248-1411

KATE DIEP DIRKSEN PA-C

Physician Assistant

39141 CIVIC CENTER DR, SUITE 335
FREMONT, CA 94538

Alameda County (510) 248-1400

DR. MARK SALEH M.D.

Urology

39141 CIVIC CENTER DR, STE 335
FREMONT, CA 94538

Alameda County (510) 248-1414

WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION

Clinic/Center

39141 CIVIC CENTER DR, SUITE 120
FREMONT, CA 94538

Alameda County (510) 794-9672

ASHWINDER KAUR WADHAWAN PT

Physical Therapist

39141 CIVIC CENTER DR, SUITE 120
FREMONT, CA 94538

Alameda County (510) 794-9672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Proctor's NPI number?

The NPI number for Jon Proctor is 1245210582. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Jon Proctor located?

Jon Proctor practices at 39141 Civic Center Dr Suite 350, Fremont, CA 94538. The listed phone number is (510) 248-6900.

What is Jon Proctor's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is Jon Proctor enrolled in Medicare?

Yes. Jon Proctor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jon Proctor was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.