Individual provider Active NPI

Jonathan Lewis Savell, MD

  • Ophthalmology Physician
  • Pleasanton, CA
National Provider Identifier
1124027495
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G16091 Issued in CA
Practice address
1687 Ramblewood Way
Pleasanton, CA 94566-6027
Phone
(925) 785-3075
Fax
(925) 460-5040
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G16091 CA Primary

Addresses

Primary practice location

1687 Ramblewood Way
Pleasanton, CA 94566-6027

Mailing address

1687 Ramblewood Way
Pleasanton, CA 94566-6027
Phone (925) 785-3075

Other identifiers 1

IdentifierTypeStateIssuer
00G160910MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G16091CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Savell, MD., Inc. Ophthalmology PastSince Nov 8, 2004 Accepting new patients

Organizations & group practices 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1124027495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 RAMBLEWOOD WAY",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666027",
            "telephone_number": "925-785-3075",
            "fax_number": "925-460-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 RAMBLEWOOD WAY",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666027",
            "telephone_number": "925-785-3075",
            "fax_number": "925-460-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVELL",
        "first_name": "JONATHAN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G16091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G160910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.