Individual provider Active NPI

Jeffrey D Traynor, M.D.

  • Maternal & Fetal Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1316981699
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A68616 Issued in CA
Practice address
110 Tampico Ste 100
Walnut Creek, CA 94598-2961
Phone
(925) 891-9033
Fax
(925) 891-9066
NPI assigned
Jun 16, 2006
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X A68616 CA Primary

Addresses

Primary practice location

110 Tampico Ste 100
Walnut Creek, CA 94598-2961

Mailing address

110 Tampico Ste 100
Walnut Creek, CA 94598-2961
Phone (925) 891-9033

Other identifiers 1

IdentifierTypeStateIssuer
00A686160MedicaidCA

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
I20060927000186 CA Practitioner - Obstetrics/Gynecology 8820093768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northwestern University Feinberg Medical School, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Diablo Valley Perinatal Associates, IncGroup PAC ID 3274716345, 2 clinicians

Practice addresses (Care Compare)

110 Tampico
Walnut Creek, CA 94598-2961
Phone (925) 891-9033

110 Tampico Dr
Suite 100
Walnut Creek, CA 94598-2961

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68616CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diablo Valley Perinatal Associates, Inc Maternal & Fetal Medicine CurrentSince Jan 1, 2011 Accepting new patients

Locations

110 Tampico
Ste 100
Walnut Creek, CA 94598
Phone (925) 891-9033

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1316981699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TAMPICO STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982961",
            "telephone_number": "925-891-9033",
            "fax_number": "925-891-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TAMPICO STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982961",
            "telephone_number": "925-891-9033",
            "fax_number": "925-891-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYNOR",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A68616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A686160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.