Jeevarathnam Pacha Dharma, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A103898 Issued in CA

Practice address

737 W Childs Ave
Merced, CA 95341-6805

Phone

(209) 385-5529

Fax

(209) 383-1296

NPI assigned

Jun 3, 2008

Last updated

Nov 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpachadharma307672@hisp.ehr.sutterhealth.org

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.

• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Planada, CA
  • NPI 1235114745
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1346224417
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Le Grand, CA
  • NPI 1356325310
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Merced, CA
  • NPI 1508333253
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1518298306
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Merced, CA
  • NPI 1528042512
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Newman, CA
  • NPI 1689658668
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Los Banos, CA
  • NPI 1730163734
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Dos Palos, CA
  • NPI 1770567778
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Westley, CA
  • NPI 1770568347
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Patterson, CA
  • NPI 1922082007
  NPD

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1093974248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504437",
            "telephone_number": "209-549-7090",
            "fax_number": "209-549-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "209-385-5529",
            "fax_number": "209-383-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHA DHARMA",
        "first_name": "JEEVARATHNAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A103898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otto W. Geissler, D.D.S., Inc.
• Lavashan Willie Owens
• Teresa Ozuna-George
• Jagjit Singh Pabla
• Kim Pangan Pablo
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Wendy Lee Padgett
• Lorena Padilla
• Lupita Nabil Padilla
• John Bernard Paik-Tesch, MD

• Pediatrics Physician in Merced, CA
• Providers in Merced, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.