Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558422675 Individual Practitioner Male Practitioner

Dr. John Charles Klock , MD

Specialist • Nicasio, CA

Professional Overview & Biography Verified Profile Summary

Dr. John Klock, MD is a registered healthcare professional specializing in Specialist in Nicasio, CA. Practice services are available at 333 WILLOW ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

333 Willow Road
511

Nicasio, CA 949460511

Telephone 4156622553
Fax 4156622127

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Nicasio, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Nicasio, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G20664

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 333 WILLOW ROAD, 511, NICASIO, CA 949460511 (Tel: 4156622553)

📍
Updated Business Mailing Address July 08, 2007

Registered at 345 WILLOW ROAD, 511, NICASIO, CA 949460511 (Tel: 4156622553)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN KLOCK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #G20664 in CA)

🟢
Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558422675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

345 Willow Road, 511

Nicasio, CA 949460511

Phone: 4156622553

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.