Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Fardell, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942838511

John Fardell, MD is a Family Practice in Sparks, Nevada. Qualified in 2020, 6 years ago. Practices with Community Care Services LLC, a 628-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1525 Los Altos Pkwy
Sparks, NV 89436-6692
Phone: (775) 982-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 301 4th St Ste 3h, Alexandria, LA 71301-8411 — (318) 441-1041
  • 21 Locust St, Reno, NV 89502-1316 — (775) 982-5000
  • 150 Ne Kenneth Ford Dr, Roseburg, OR 97470-1042 — (541) 672-9596

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD214657 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942838511
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 30, 2020
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Care Services Llc — 628 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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