Jason McLain Blythe, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

4637 Issued in CA

Practice address

2480 Mission St Ste 327
San Francisco, CA 94110-2463

Phone

(415) 824-3737

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jblythe183864@hisp.ehr.sutterhealth.org
• Direct secure messaging: jmb103pcs@m1662.primeclinicalsystems.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CACBED/Endpoint/CACBED

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.

• Jason Blythe, DPM, Inc

  • Foot & Ankle Surgery Podiatrist
  • San Francisco, CA
  • NPI 1891112678
  Medicare reassignment NPD Authorized official
• Fidelis Diagnostics, Inc.

  • Electroneurodiagnostic Specialist/Technologist
  • Los Angeles, CA
  • NPI 1962460071
  NPD (past)
• Marina Podiatry Associates Inc

  • Podiatrist
  • San Francisco, CA
  • NPI 1548306590
  NPD (past)
• Mark S Linam DPM a Professional Corp.

  • Foot & Ankle Surgery Podiatrist
  • Norwalk, CA
  • NPI 1508917204
  NPD (past)
• St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1730238007
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1174589527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 MISSION ST",
            "address_2": "#327",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102468",
            "telephone_number": "415-824-3737",
            "fax_number": "415-824-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 MISSION ST STE 327",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102463",
            "telephone_number": "415-824-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYTHE",
        "first_name": "JASON",
        "middle_name": "MCLAIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "4637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER NUMBER",
            "identifier": "5723780001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1174589527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven L Blumlein, MD
• Susanne Blunck
• Christopher Blunt
• Leslie P Blunt
• Yuliya Blyakherova
• Julianne Blythe, PA-C
• BMS Harmony Clinic
• Lara Boado
• Rebecca Boardman, D.D.S.
• Lucy A Boas, M.F.T

• Foot & Ankle Surgery Podiatrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.

Verify at the official NPI Registry.