NPIMap

Individual provider Active NPI

Jason Ty Turner, MD

  • Vascular Surgery Physician
  • Pismo Beach, CA
National Provider Identifier
1326545500
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A183554 Issued in CA
Practice address
921 Oak Park Blvd Ste 201
Pismo Beach, CA 93449-3400
Phone
(805) 546-0411
Fax
(805) 473-4891
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A183554 CA Primary

Addresses

Primary practice location

921 Oak Park Blvd Ste 201
Pismo Beach, CA 93449-3400

Mailing address

921 Oak Park Blvd Ste 201
Pismo Beach, CA 93449-3400
Phone (216) 844-1000

Other practice location 1

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

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
I20230620003280 CA Practitioner - Vascular Surgery 3375901564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Oregon Health Sciences University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Surgeons of San Luis ObispoGroup PAC ID 7810949989, 10 clinicians

Practice addresses (Care Compare)

77 Casa St
San Luis Obispo, CA 93405-5804
Phone (805) 546-0411

921 Oak Park Blvd
Suite 201
Pismo Beach, CA 93449-3400
Phone (805) 546-0411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal25
Leg revascularization (restoring blood flow)48
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A183554CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Associated Surgeons of San Luis Obispo CurrentSince Aug 1, 2023 Accepting new patients
Associated Surgeons of San Luis Obispo Past Accepting new patients
Dignity Community Care Past Accepting new patients
Twin Cities Community Hospital, Inc. Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

921 Oak Park Blvd
Ste 201
Pismo Beach, CA 93449
Phone (805) 546-0411

921 Oak Park Blvd
Ste 201A
Pismo Beach, CA 93449
Phone (805) 544-6000

77 Casa St
Ste 103
Sn Luis Obisp, CA 93405
Phone (805) 544-8993

292 Posada Ln
Ste C
Templeton, CA 93465
Phone (805) 434-2253

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jturner143059@direct.metrohealth.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1294

Organizations & group practices 8

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 5

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1326545500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 OAK PARK BLVD STE 201",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493400",
            "telephone_number": "216-844-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 OAK PARK BLVD STE 201",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493400",
            "telephone_number": "805-546-0411",
            "fax_number": "805-473-4891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "JASON",
        "middle_name": "TY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A183554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

Verify at the official NPI Registry.