Active NPI
Jessica Kaur Jaswal
- Foot & Ankle Surgery Podiatrist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- EL6979
- Practice address
- 11301 Wilshire Blvd BLDG 500
Los Angeles, CA 90073-1003 - Phone
- (310) 268-3643
- NPI assigned
- May 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | EL6979 | CA | Primary |
Addresses
Primary practice location
11301 Wilshire Blvd BLDG 500
Los Angeles, CA 90073-1003
Mailing address
11301 Wilshire Blvd BLDG 500
Los Angeles, CA 90073-1003
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15035 E 14TH St
Suite a
San Leandro, CA 94578-1901
Phone (510) 278-9350
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.65 of 100
- Quality
- 68.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 92 |
| Removal of nail tissue | 163 |
| Removal or shaving of skin growth | 97 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EL6979 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 5882 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Foot Care, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Bay Area Foot Care Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients |
Locations
20130 Lake Chabot Rd
Ste 202
Castro Valley, CA 94546
Phone (510) 581-1484
1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865
2287 Mowry Ave
Ste A
Fremont, CA 94538
Phone (510) 782-8300
730 16th St
Modesto, CA 95354
Phone (209) 529-9450
2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888
5924 Stoneridge Dr
Ste 102
Pleasanton, CA 94588
Phone (510) 582-6424
5860 Owens Dr
Ste 130
Pleasanton, CA 94588
Phone (760) 987-6796
1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148
1 Shrader St
Ste 580
San Francisco, CA 94117
Phone (415) 292-0638
1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711
2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211
15035 E 14th St
Ste A
San Leandro, CA 94578
Phone (510) 278-9350
750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575
3536 Mendocino Ave
Ste 300B
Santa Rosa, CA 95403
Phone (707) 237-3410
3031 W March Ln
Ste 310
Stockton, CA 95219
Phone (209) 472-0800
47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jessica.jaswal.1@20181.direct.athenahealth.com
- jjaswal663739@hisp.ehr.sutterhealth.org
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- San Francisco, CA
- NPI 1508911892
-
- Foot & Ankle Surgery Podiatrist
- San Jose, CA
- NPI 1649136490
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1124641436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD BLDG 500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD BLDG 500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003",
"telephone_number": "310-268-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASWAL",
"first_name": "JESSICA",
"middle_name": "KAUR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "EL6979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.