Individual provider Active NPI

Jason Van Tassel, M.D.

  • Otolaryngology Physician
  • Fremont, CA
National Provider Identifier
1225143084
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A79305 Issued in CA
Practice address
2557 Mowry Ave Ste 30
Fremont, CA 94538-1614
Phone
(510) 248-1590
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A79305 CA Primary

Addresses

Primary practice location

2557 Mowry Ave Ste 30
Fremont, CA 94538-1614

Mailing address

2557 Mowry Ave Ste 30
Fremont, CA 94538-1614
Phone (510) 248-1590

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
I20041117001254 CA Practitioner - Otolaryngology 0547224610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Georgetown University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 248-1000

2557 Mowry Ave
Fremont, CA 94538-1614

39500 Fremont Blvd
Suite 100
Fremont, CA 94538-2101
Phone (510) 687-9510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
66.48
Promoting interoperability
100
Improvement activities
40
Cost
75.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79305CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Medical Foundation CurrentSince Nov 1, 2010 Accepting new patients
Washington Township Medical Foundation CurrentSince Nov 1, 2010 Accepting new patients
Providence Facey Medical Foundation Otolaryngology Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients

Locations

2500 Mowry Ave
Ste 255
Fremont, CA 94538

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

2557 Mowry Ave
Ste 10
Fremont, CA 94538
Phone (510) 248-1843

2557 Mowry Ave
Ste 30
Fremont, CA 94538
Phone (510) 248-1590

Interoperability endpoints

  • Direct secure messaging: jvantassel7033@direct.whhs.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1225143084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE STE 30",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381614",
            "telephone_number": "510-248-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE STE 30",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381614",
            "telephone_number": "510-248-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TASSEL",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A79305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.