NPIMap

Individual provider Active NPI

Edward Paul Jardini, M.D.

  • Family Medicine Physician
  • Templeton, CA
National Provider Identifier
1275517302
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G60166 Issued in CA
Practice address
1320 Las Tablas Rd
Suite F
Templeton, CA 93465-9711
Phone
(805) 434-0025
Fax
(805) 434-0029
NPI assigned
Dec 1, 2005
Last updated
Oct 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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 G60166 CA Primary

Addresses

Primary practice location

1320 Las Tablas Rd
Suite F
Templeton, CA 93465-9711

Mailing address

1320 Las Tablas Rd
Suite F
Templeton, CA 93465-9711
Phone (805) 434-0025

Other identifiers 2

IdentifierTypeStateIssuer
00G601660OtherCABLUE SHIELD PIN
115OtherCACMSP PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060606000181 CA Practitioner - Family Practice 0749291813 Reassigns benefits to 1 organization
Receives reassigned benefits from 4 practitioners
Practice locations: Templeton, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Coast Direct Medical Care PCGroup PAC ID 3173058583, 3 clinicians
David B. HammerGroup PAC ID 3971559881, 117 clinicians

Practice addresses (Care Compare)

Templeton, CA 93465
Phone (805) 988-4400

1051 Las Tablas Rd
Templeton, CA 93465-5603

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.01 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G60166CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lomelino Medical Group PC Family Medicine CurrentSince Jan 15, 2016 Accepting new patients
Central Coast Direct Medical Care PC CurrentSince Dec 23, 2024 Accepting new patients

Locations

1320 Las Tablas Rd
Ste F
Templeton, CA 93465
Phone (805) 434-0025

Interoperability endpoints

  • Direct secure messaging: edward.jardini@823930925416452.direct.elationemr.com

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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

Hospital & facility affiliations 4

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1275517302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 LAS TABLAS RD",
            "address_2": "SUITE F",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659711",
            "telephone_number": "805-434-0025",
            "fax_number": "805-434-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 LAS TABLAS RD",
            "address_2": "SUITE F",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659711",
            "telephone_number": "805-434-0025",
            "fax_number": "805-434-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDINI",
        "first_name": "EDWARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G60166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00G601660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMSP PIN",
            "identifier": "115",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.