NPIMap

Individual provider Active NPI

Jaime Eliezer Giron, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Soledad, CA
National Provider Identifier
1346321197
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
A80671 Issued in CA
Practice address
600 Main St
Soledad, CA 93960-2533
Phone
(831) 678-2665
Fax
(831) 678-1539
NPI assigned
Oct 18, 2006
Last updated
Apr 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X A80671 CA Primary

Addresses

Primary practice location

600 Main St
Soledad, CA 93960-2533

Mailing address

600 Main St
Soledad, CA 93960-2533
Phone (831) 678-2665

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
I20080219000703 CA Practitioner - Family Practice 0345324059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Main St
Soledad, CA 93960-2533
Phone (831) 678-2665

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80671CAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soledad Community Health Care District CurrentSince Jun 21, 2009 Accepting new patients
Eden Valley Care Center CurrentSince Jun 21, 2009 Accepting new patients

Locations

600 Main St
Soledad, CA 93960
Phone (831) 678-2665

612 Main St
Soledad, CA 93960
Phone (831) 678-2462

Interoperability endpoints

  • Direct secure messaging: jaime.giron.1@23190.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Soledad Medical ClinicSoledad, CA, CCN 553938 Rural health clinic Corporate Director Jan 18, 1995

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 8

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1346321197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAIN ST",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939602533",
            "telephone_number": "831-678-2665",
            "fax_number": "831-678-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN ST",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939602533",
            "telephone_number": "831-678-2665",
            "fax_number": "831-678-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRON",
        "first_name": "JAIME",
        "middle_name": "ELIEZER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A80671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soledad, CA

Sources for this page

Verify at the official NPI Registry.