Individual provider Active NPI

Jared Arthur Paskin, MD

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1063523595
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G45379 Issued in CA
Practice address
535 W 25TH St
Merced, CA 95340-2801
Phone
(209) 722-9066
Fax
(209) 383-1522
NPI assigned
Aug 31, 2006
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G45379 CA Primary

Addresses

Primary practice location

535 W 25TH St
Merced, CA 95340-2801

Mailing address

PO Box 3768
Merced, CA 95344-3768
Phone (209) 722-9066

Other identifiers 1

IdentifierTypeStateIssuer
00G453790MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jared.paskin.1@3012.direct.athenahealth.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000488 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 0648342287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Wake Forest University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

535 W 25TH St
Mfa Parkside Medical Clinic
Merced, CA 95340-2838
Phone (209) 722-9066

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G45379CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merced Faculty Associates Medical Group Incorporated Family Medicine CurrentSince Jul 1, 1999 Accepting new patients
Merced Faculty Associates Medical Group Incorporated Family Medicine Current Accepting new patients
Dignity Health Past Accepting new patients

Locations

127 W El Portal Dr
Merced, CA 95348
Phone (209) 723-3704

374 W Olive Ave
Ste B
Merced, CA 95348
Phone (209) 383-3076

535 W 25th St
Merced, CA 95340
Phone (209) 722-9066

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jared.paskin.1@3012.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1063523595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-722-9066",
            "fax_number": "209-383-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W 25TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402801",
            "telephone_number": "209-722-9066",
            "fax_number": "209-383-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASKIN",
        "first_name": "JARED",
        "middle_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G45379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G453790",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jared.paskin.1@3012.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "535 W 25th St",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953402801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.