Individual provider Active NPI

Jeremy Rinaldi, PA-C

  • Physician Assistant
  • San Luis Obispo, CA
National Provider Identifier
1114574159
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA57292 Issued in CA
Practice address
1551 Bishop St Ste 220
San Luis Obispo, CA 93401-4661
Phone
(805) 543-2744
Fax
(805) 543-0539
NPI assigned
Aug 23, 2019
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA57292 CA Primary

Addresses

Primary practice location

1551 Bishop St Ste 220
San Luis Obispo, CA 93401-4661

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191216000941 CA Practitioner - Physician Assistant 1153755640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

320 James Way
Suite 240
Pismo Beach, CA 93449-2875
Phone (805) 574-1850

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Quality
88.57
Promoting interoperability
96
Improvement activities
40
Cost
75.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA57292CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Partners of California, Inc. CurrentSince Apr 15, 2025 Accepting new patients
Baz Allergy, Asthma & Sinus Center CurrentSince May 15, 2023 Accepting new patients
Baz Allergy, Asthma & Sinus Center CurrentSince May 15, 2023 Accepting new patients

Locations

7471 N Fresno St
Fresno, CA 93720
Phone (559) 436-4500

1560 W Lacey Blvd
Ste 103
Hanford, CA 93230
Phone (559) 582-8500

1415 Badger Flat Rd
Ste A
Los Banos, CA 93635
Phone (209) 710-8684

1923 Coffee Rd
Ste 12C
Modesto, CA 95355
Phone (209) 409-8454

320 James Way
Ste 240
Pismo Beach, CA 93449
Phone (805) 574-1850

821 E Chapel St
Ste 201
Santa Maria, CA 93454
Phone (805) 922-5746

1551 Bishop St
Ste 220
Sn Luis Obisp, CA 93401
Phone (805) 541-0668

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1114574159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST STE 220",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014661",
            "telephone_number": "805-543-2744",
            "fax_number": "805-543-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINALDI",
        "first_name": "JEREMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-23",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.