Active NPI
Jamie Rath, PA-C
- Physician Assistant
- Washington, DC
National Provider Identifier
1023342227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA200002517
- Practice address
- 5801 Army Pentagon
Washington, DC 20310-5801 - Phone
- (703) 692-6131
- NPI assigned
- Sep 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 52440 | CA | |
| Physician Assistant | 363A00000X | PA200002517 | DC | Primary |
Addresses
Primary practice location
5801 Army Pentagon
Washington, DC 20310-5801
Mailing address
420 Florida Ave NE # 230
Washington, DC 20002-3438
Phone (760) 736-6767
Other practice location 1
601 New Jersey Ave NW Ste 200
Washington, DC 20001-3030
Phone (888) 663-6331
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52440 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brentview Medical Inc. | Current | Accepting new patients | |
| Skinpeccable Inc. | Current | Accepting new patients | |
| BVM Therapy Inc. | Past | Accepting new patients |
Locations
11611 San Vicente Blvd
Ste GF1
Los Angeles, CA 90049
Phone (310) 820-0013
11611 San Vicente Blvd
Los Angeles, CA 90049
Phone (310) 447-6060
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- West Hollywood, CA
- NPI 1326631177
-
- Clinic/Center
- Los Angeles, CA
- NPI 1194058578
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1912368358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1023342227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 FLORIDA AVE NE # 230",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023438",
"telephone_number": "760-736-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 ARMY PENTAGON",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203105801",
"telephone_number": "703-692-6131"
}
],
"practiceLocations": [
{
"address_1": "601 New Jersey Ave NW Ste 200",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200013030",
"country_code": "US",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RATH",
"first_name": "JAMIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-22",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "52440",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA200002517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.