Individual provider Active NPI

Jake M Brierley, MD

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1215501606
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A197893 Issued in CA
Practice address
1320 Celeste Dr
Modesto, CA 95355-2402
Phone
(209) 527-6900
Fax
(209) 524-7328
NPI assigned
May 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A197893 CA Primary

Addresses

Primary practice location

1320 Celeste Dr
Modesto, CA 95355-2402

Mailing address

317 Bodem St
Modesto, CA 95350-6106
Phone (661) 466-6523

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814005053 CA Practitioner - Family Practice 0941748412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1320 Celeste Dr
Modesto, CA 95355-2402
Phone (209) 527-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A197893CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Medical Group of Modesto a Professional Corp Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Golden Valley Health Center CurrentSince Jul 29, 2024 Accepting new patients
Golden Valley Health Centers CurrentSince Jul 29, 2024 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations

1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

401 Paradise Rd
Ste E103
Modesto, CA 95351

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1320 Celeste Dr
Modesto, CA 95355
Phone (209) 527-6900

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGEHCD
  • Direct secure messaging: jbrierley455087@hisp.ehr.sutterhealth.org

Organizations & group practices 6

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1215501606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BODEM ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953506106",
            "telephone_number": "661-466-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CELESTE DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552402",
            "telephone_number": "209-527-6900",
            "fax_number": "209-524-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIERLEY",
        "first_name": "JAKE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A197893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.