Individual provider Active NPI

Jared Rex Mitchell, MD

  • Anesthesiology Physician
  • Walnut Creek, CA
National Provider Identifier
1093742009
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A83261 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A832610MedicaidCA

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
I20050803001165 CA Practitioner - Anesthesiology 1557399128 Reassigns benefits to 3 organizations

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
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

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

LicenseStateTypeSpecialty
A83261CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
G2 Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients
John Muir Trauma Physicians Billing Service Anesthesiology CurrentSince Mar 27, 2019 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.

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

Verify at the official NPI Registry.