Healthcare Provider Details

I. General information

NPI: 1750235347
Provider Name (Legal Business Name): ORLAND MEDICAL GROUP, A PHYSICIAN ASSISTANT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 WALKER ST STE 2
ORLAND CA
95963-1457
US

IV. Provider business mailing address

203 WALKER ST STE 2
ORLAND CA
95963-1457
US

V. Phone/Fax

Practice location:
  • Phone: 530-865-6430
  • Fax: 530-865-6438
Mailing address:
  • Phone: 530-865-6430
  • Fax: 530-865-6438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOHN MCDERMOTT
Title or Position: PRESIDENT
Credential: FNP/PA-C
Phone: 530-321-3737