Individual provider Active NPI

Lauren Jerd, DPT

  • Physical Therapist
  • Oakland, CA
National Provider Identifier
1184332199
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1305 Magnolia St
Oakland, CA 94607-2224
Phone
(619) 895-2360
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1305 Magnolia St
Oakland, CA 94607-2224

Mailing address

1305 Magnolia St
Oakland, CA 94607-2224

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lauren.Jerd@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119000518 CA Practitioner - Physical Therapist in Private Practice 6709257348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

127 Hospital Dr
Suite 101
Vallejo, CA 94589-2500
Phone (707) 552-8795

816 Southampton Rd
Benicia, CA 94510-1907
Phone (707) 215-3597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grove, Andersen, Ghiringhelli Physical Therapy a Professional Co Physical Therapist CurrentSince Nov 14, 2022 Accepting new patients

Locations

816 Southampton Rd
Benicia, CA 94510
Phone (707) 512-8901

127 Hospital Dr
Ste 101
Vallejo, CA 94589
Phone (707) 512-7290

Organizations & group practices 2

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1184332199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MAGNOLIA ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MAGNOLIA ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072224",
            "telephone_number": "619-895-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERD",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lauren.Jerd@gmail.com",
            "affiliation": "N",
            "address_1": "1305 Magnolia St",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946072224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.