Jacob John Verhoeven, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1700 Coffee Rd
Modesto, CA 95355-2803

Phone

(209) 526-4500

NPI assigned

Dec 8, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chanukya Dasari MD a Professional CorporationGroup PAC ID 8224526173, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Chanukya Dasari MD a Professional Corporation

  • Surgery Physician
  • La Puente, CA
  • NPI 1942184817
  Medicare reassignment Care Compare group NPD
• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment
• Professional Wound Specialists PC

  • Surgery Physician
  • Pomona, CA
  • NPI 1437988326
  Medicare reassignment
• San Joaquin Emergency Medical Associates

  • Emergency Medicine Physician
  • Merced, CA
  • NPI 1588960413
  Medicare reassignment
• Ming-Wei Wu, Inc

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144

  CA

  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1396044491
  NPD

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

{
    "created_epoch": "1544227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544227200000",
    "number": "1306317987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552803",
            "telephone_number": "209-526-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552803",
            "telephone_number": "209-526-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERHOEVEN",
        "first_name": "JACOB",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-08",
        "last_updated": "2018-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Joseph Verderame, M.D.
• Arely Verdin
• Danl K Verdone, MFT
• Cynthia Verduzco
• Jasmine Judith Vergara
• Ashley Rae Verissimo
• Nisheeth Verma, M.D.
• Sunita Verma, M.D.
• Sujeev Vhan
• Isabel Rachel Vialpando

• Physician Assistant in Modesto, CA
• Providers in Modesto, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; 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.

Verify at the official NPI Registry.