Individual provider Active NPI

Allison Rae Jarstad, DO

  • Ophthalmology Physician
  • Medford, OR
National Provider Identifier
1265729081
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DO208852 Issued in OR
Practice address
1408 E Barnett Rd
Medford, OR 97504-8279
Phone
(541) 779-2020
Fax
(541) 770-6838
NPI assigned
Jun 30, 2011
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20A15543 CA
Ophthalmology Physician 207W00000X DO208852 OR Primary

Addresses

Primary practice location

1408 E Barnett Rd
Medford, OR 97504-8279

Mailing address

1408 E Barnett Rd
Medford, OR 97504-8279
Phone (541) 779-2020

Other practice location 1

111 University Pkwy
Suite 202
Yakima, WA 98901-1471
Phone (435) 901-9211

Other practice location 2

850 Health Sciences Road
Irvine, CA 92697-1471
Phone (949) 824-2020

Other practice location 3

3300 E South St
Lakewood, CA 90805-4549
Phone (562) 531-2020

Other practice location 4

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other practice location 5

3801 Katella Ave Ste 130
Los Alamitos, CA 90720
Phone (562) 598-7728

Other practice location 6

3801 Katella Ave Ste 130
Los Alamitos, CA 90720-3362
Phone (562) 598-7728

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL MDOffice

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170725003673 CA Practitioner - Ophthalmology 5092085944 Reassigns benefits to 3 organizations
I20220125000948 OR Practitioner - Ophthalmology 5092085944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cataract and Laser Institute of Southern Oregon PCGroup PAC ID 7517952344, 5 clinicians

Practice addresses (Care Compare)

1408 E Barnett Rd
Medford, OR 97504-8279
Phone (541) 779-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.95 of 100Reported as group
Quality
97.66
Improvement activities
40
Cost
79.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery251

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15543CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Eye Physicians and Surgeons Inc a Medical Group CurrentSince Jul 6, 2019 Accepting new patients
Regents of the University of California Single Specialty CurrentSince Jun 28, 2017 Accepting new patients
Cataract and Laser Institute of Southern Oregon PC Single Specialty CurrentSince Dec 21, 2021 Accepting new patients
Eye Surgery Center CurrentSince Apr 4, 2022 Accepting new patients
Regents of the University of California Single Specialty CurrentSince Jun 28, 2017 Accepting new patients

Locations

850 Health Sciences Rd
Irvine, CA 92617
Phone (949) 824-0606

850 Health Sciences Rd
Ste 202
Irvine, CA 92617

3300 E South St
Lakewood, CA 90805
Phone (562) 232-1144

3300 E South St
#107
Lakewood, CA 90805
Phone (562) 531-2020

3300 E South St
Ste 105
Lakewood, CA 90805
Phone (562) 232-1442

3300 E South St
Ste 107
Lakewood, CA 90805
Phone (562) 531-2020

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1408 E Barnett Rd
Medford, OR 97504
Phone (503) 779-2464

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1265729081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048279",
            "telephone_number": "541-779-2020",
            "fax_number": "541-770-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048279",
            "telephone_number": "541-779-2020",
            "fax_number": "541-770-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 University Pkwy",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989011471",
            "country_code": "US",
            "telephone_number": "435-901-9211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Health Sciences Road",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926971471",
            "country_code": "US",
            "telephone_number": "949-824-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 E South St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "908054549",
            "country_code": "US",
            "telephone_number": "562-531-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Katella Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "90720",
            "country_code": "US",
            "telephone_number": "562-598-7728",
            "fax_number": "562-598-4209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Katella Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907203362",
            "country_code": "US",
            "telephone_number": "562-598-7728",
            "fax_number": "562-598-4209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARSTAD",
        "first_name": "ALLISON",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A15543",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "DO208852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MDOffice",
            "affiliation": "N",
            "address_1": "1408 E Barnett Rd",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975048279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.