NPIMap

Individual provider Active NPI

Jeffrey John Guttas, M.D.

  • Cardiovascular Disease Physician
  • San Mateo, CA
National Provider Identifier
1093726895
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G612560 Issued in CA
Practice address
100 S San Mateo Dr
Suite 400
San Mateo, CA 94401-3805
Phone
(650) 696-4100
Fax
(650) 696-4121
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G612560 CA Primary

Addresses

Primary practice location

100 S San Mateo Dr
Suite 400
San Mateo, CA 94401-3805

Mailing address

100 S San Mateo Dr
Suite 400
San Mateo, CA 94401-3805
Phone (650) 696-4100

Other identifiers 1

IdentifierTypeStateIssuer
00G612560MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090608000623 CA Practitioner - Cardiovascular Disease (Cardiology) 7012067465 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of California, Davis School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, shared by 16 NPIs, 3,783 clinicians
Jeffrey J Guttas MD a Medical CorporationGroup PAC ID 7012954944, 2 clinicians

Practice addresses (Care Compare)

100 S San Mateo Dr
San Mateo, CA 94401-3805
Phone (650) 696-5400

123 S San Mateo Dr
San Mateo, CA 94401-3804
Phone (650) 343-4200

Hospital & facility affiliations

  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Merit-based Incentive Payment System (MIPS)

Final score
86.92 of 100Reported as group
Quality
88.97
Promoting interoperability
100
Improvement activities
40
Cost
67.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G612560CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey J. Guttas. MD, Inc. Current Accepting new patients
Jeffrey J. Guttas, M.D. a Medical Corporation Cardiovascular Disease CurrentSince Jan 1, 1997 Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Seton Medical Center Coatside Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Cardiovascular Disease Past Accepting new patients

Locations

2001 Winward Way
Ste 101
San Mateo, CA 94404
Phone (650) 288-0602

100 S San Mateo Dr
#400
San Mateo, CA 94401
Phone (650) 696-4100

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

Interoperability endpoints

  • Direct secure messaging: jguttas45937@hisp.ehr.sutterhealth.org

Organizations & group practices 12

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.

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1093726895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S SAN MATEO DR",
            "address_2": "SUITE 400",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013805",
            "telephone_number": "650-696-4100",
            "fax_number": "650-696-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S SAN MATEO DR",
            "address_2": "SUITE 400",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013805",
            "telephone_number": "650-696-4100",
            "fax_number": "650-696-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTAS",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G612560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G612560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.