Individual provider Active NPI

John Jaureguito, MD

  • Specialist
  • Fremont, CA
National Provider Identifier
1013044601
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G081317 Issued in CA
Practice address
39180 Farwell Dr
Suite 110
Fremont, CA 94538-1052
Phone
(510) 739-6520
Fax
(510) 739-6522
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G081317 CA Primary

Addresses

Primary practice location

39180 Farwell Dr
Suite 110
Fremont, CA 94538-1052

Mailing address

39180 Farwell Dr
Suite 110
Fremont, CA 94538-1052
Phone (510) 739-6520

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ18646ZOtherCAMEDICARE GROUP NUMBER
GR0089060MedicaidCA
ZZZ00577ZOtherCABLUE SHIELD GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G081317CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Sports Specialists a Medical Corp CurrentSince Jan 20, 1999 Accepting new patients
Precision Surgicenter LLC PastSince Feb 11, 2009 Accepting new patients

Locations

39180 Farwell Dr
Ste 110
Fremont, CA 94538
Phone (510) 739-6520

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1013044601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR",
            "address_2": "SUITE 110",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381052",
            "telephone_number": "510-739-6520",
            "fax_number": "510-739-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR",
            "address_2": "SUITE 110",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381052",
            "telephone_number": "510-739-6520",
            "fax_number": "510-739-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUREGUITO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G081317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "ZZZ18646Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "ZZZ00577Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.