Active NPI
Jared Rex Mitchell, MD
- Anesthesiology Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A83261
- Practice address
- 1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122 - Phone
- (925) 939-3000
- Fax
- (925) 947-5286
- NPI assigned
- Jun 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A83261 | CA | Primary |
Addresses
Primary practice location
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Mailing address
PO Box 7793
San Francisco, CA 94120-7793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A832610 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Southern California Keck School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83261 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| G2 Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| Stanford Health Care Tri-Valley | Past | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Past | Accepting new patients |
| San Ramon Regional Medical Center, LLC | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
1720 El Camino Real
Ste 100
Burlingame, CA 94010
Phone (650) 259-5300
429 Llewellyn Ave
Campbell, CA 95008
Phone (408) 358-5000
2540 East St
Concord, CA 94520
Phone (925) 674-2228
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
15047 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2774
15047 Los Gatos Blvd
Ste 150
Los Gatos, CA 95032
Phone (408) 356-2244
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3370 Geary Blvd
San Francisco, CA 94118
Phone (415) 379-7500
3468 California St
San Francisco, CA 94118
Phone (415) 345-0100
2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114
100 Park Pl
Ste 200
San Ramon, CA 94583
Phone (925) 867-1800
365 Lennon Ln
Ste 100
Walnut Creek, CA 94598
Phone (925) 929-4600
2021 Ygnacio Valley Rd
Ste H102
Walnut Creek, CA 94598
Phone (866) 678-4320
2405 Shadelands Dr
Ste 200
Walnut Creek, CA 94598
Phone (615) 234-5924
100 N Wiget Ln
Walnut Creek, CA 94598
Phone (530) 758-2324
133 La Casa Via
Ste 150
Walnut Creek, CA 94598
Phone (925) 210-8400
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245
370 N Wiget Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 278-7592
100 N Wiget Ln
Ste 140
Walnut Creek, CA 94598
Phone (530) 758-2324
Organizations & group practices 11
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.
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- NPI 1093864837
-
- Anesthesiology Physician
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- NPI 1912426081
-
- Trauma Surgery Physician
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- NPI 1962551861
Anesthesiology
-
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- NPI 1093678229
-
- Anesthesiology Physician
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- NPI 1982009759
-
- General Acute Care Hospital
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- NPI 1801821376
-
- General Acute Care Hospital
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-
- General Acute Care Hospital
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-
- General Acute Care Hospital
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093742009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7793",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941207793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 YGNACIO VALLEY RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983122",
"telephone_number": "925-939-3000",
"fax_number": "925-947-5286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JARED",
"middle_name": "REX",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A83261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A832610",
"state": "CA"
}
],
"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 Jul 8, 2007; 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.