Active NPI
Jessica Muthoni Ndiritu, FNP
- Family Nurse Practitioner
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95018510
- Practice address
- 1901 4TH St
Berkeley, CA 94710-1985 - Phone
- (510) 929-1400
- Fax
- (510) 929-1414
- NPI assigned
- Sep 21, 2021
- Last updated
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95018510 | CA | Primary |
Addresses
Primary practice location
1901 4TH St
Berkeley, CA 94710-1985
Mailing address
PO Box 511250
Los Angeles, CA 90051-7805
Phone (510) 929-1400
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Berkeley, CA 94710
Phone (510) 929-1400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Park Health, Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
1901 4th St
Ste 201
Berkeley, CA 94710
Phone (469) 401-8820
22445 Cupertino Rd
Cupertino, CA 95014
Phone (408) 253-4300
3850 Walnut Ave
Fremont, CA 94538
Phone (341) 206-8344
16977 Healdsburg Ave
Healdsburg, CA 95448
1144 65th St
Ste F
Oakland, CA 94608
Phone (510) 919-1400
9800 Glen Center Dr
San Diego, CA 92131
Phone (858) 832-2500
1444 McAllister St
San Francisco, CA 94115
Phone (415) 305-4002
Interoperability endpoints
- https://api.platform.athenahealth.com/21048/brand/1/csg/1/fhir/r4
- jessica.ndiritu@299395540647940.direct.elationemr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Ramon, CA
- NPI 1972559961
-
- Home Health Agency
- San Ramon, CA
- NPI 1861846693
-
dba Providence Home Health Sonoma
- Home Health Agency
- Santa Rosa, CA
- NPI 1801981634
-
dba Sutter Care at Home
- Home Health Agency
- Santa Rosa, CA
- NPI 1205865870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1205507142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 511250",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900517805",
"telephone_number": "510-929-1400",
"fax_number": "510-929-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 4TH ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947101985",
"telephone_number": "510-929-1400",
"fax_number": "510-929-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDIRITU",
"first_name": "JESSICA",
"middle_name": "MUTHONI",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95018510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.