Individual provider Active NPI

Jason A Servatius, N.D.

  • Obesity Medicine (Preventive Medicine) Physician
  • Walnut Creek, CA
National Provider Identifier
1063634822
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X
License
ND-308 Issued in CA
Practice address
1981 N Broadway Ste 200
Walnut Creek, CA 94596-3872
Phone
(925) 287-8777
Fax
(925) 378-4480
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X ND-308 CA Primary

Addresses

Primary practice location

1981 N Broadway Ste 200
Walnut Creek, CA 94596-3872

Mailing address

1555 Botelho Dr # 411
Walnut Creek, CA 94596-5102
Phone (925) 287-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND-308CAMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jumpstart Medicine PC PastSince Nov 7, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jason.servatius@13475020865540.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1063634822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BOTELHO DR # 411",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965102",
            "telephone_number": "925-287-8777",
            "fax_number": "925-378-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 N BROADWAY STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963872",
            "telephone_number": "925-287-8777",
            "fax_number": "925-378-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVATIUS",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "CA",
            "license": "ND-308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.