Active NPI
Jacob Gerald
- Physician Assistant
- Merced, CA
National Provider Identifier
1023803103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA67687
- Practice address
- 333 Mercy Ave
Merced, CA 95340-8319 - Phone
- (209) 564-5000
- NPI assigned
- Apr 10, 2025
- 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 | PA67687 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
333 Mercy Ave
Merced, CA 95340-8319
Mailing address
333 Mercy Ave
Merced, CA 95340-8319
Other practice location 1
616 Marriott Dr
Nashville, TN 37214-5048
Phone (629) 802-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 Mercy Ave
Merced, CA 95340-8319
Phone (209) 564-5140
Hospital & facility affiliations
- Mercy Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA67687 | CA | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Merced, CA
- NPI 1588960413
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1023803103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 MERCY AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953408319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MERCY AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953408319",
"telephone_number": "209-564-5000"
}
],
"practiceLocations": [
{
"address_1": "616 Marriott Dr",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372145048",
"country_code": "US",
"telephone_number": "629-802-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERALD",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-10",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA67687",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.