Jonathan Edens, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA57279 Issued in CA

Practice address

9333 Tech Center Dr Ste 100
Sacramento, CA 95826-2585

Phone

(916) 750-6186

Fax

(916) 379-7964

NPI assigned

Oct 3, 2019

Sex

Male

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

95.22 of 100Reported as group

Quality

100

Improvement activities

40

Cost

72.4

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCJEBA

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.

• Bay Area Community Services, Inc.

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1235349572
  Medicare reassignment
• Beautiful Minds Medical, Inc.

  dba Beautiful Minds Wellness

  • Psychiatry Physician
  • Auburn, CA
  • NPI 1306144837
  Medicare reassignment
• Bay Area Community Services, Inc.

  • Case Management Agency
  • Oakland, CA
  • NPI 1306037981
  NPD
• Bay Area Community Services, Inc.

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1982334561
  NPD

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1184265845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 RISLEY PL",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469673",
            "telephone_number": "707-708-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 TECH CENTER DR STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262585",
            "telephone_number": "916-750-6186",
            "fax_number": "916-379-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENS",
        "first_name": "JONATHAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Eddy, MD
• Jurian Tyler Edelenbos, DO
• Tonja M. Edelman, BSW
• Ellen Scott Edelstein, LCSW
• Mark David Edelstein, M.D.
• Anke Z Eder, M.D.
• Corwin Eder
• Shelley Eder, M.D.
• Jessica Edgar, MS
• Richard James Edgar

• Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.