Individual provider Active NPI

Jennifer Irvine, DO

  • Family Medicine Physician
  • Morro Bay, CA
National Provider Identifier
1346879731
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21259 Issued in CA
Practice address
685 Morro Ave Ste C
Morro Bay, CA 93442-2233
Phone
(805) 772-7313
Fax
(805) 772-0395
NPI assigned
Apr 7, 2020
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 21259 CA Primary

Addresses

Primary practice location

685 Morro Ave Ste C
Morro Bay, CA 93442-2233

Mailing address

685 Morro Ave Ste C
Morro Bay, CA 93442-2233
Phone (805) 772-7313

Other practice location 1

2 James Way Ste 209
Pismo Beach, CA 93449-4976
Phone (805) 549-6915

Other practice location 2

901 Oak Park Blvd Ste 101
Pismo Beach, CA 93449-3409
Phone (805) 481-2205

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
I20230907002308 CA Practitioner - Family Practice 5991169088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rocky Vista University College of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

685 Morro Ave
Suite C
Morro Bay, CA 93442-2233
Phone (805) 772-7313

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21259CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Sep 4, 2023 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Sep 4, 2023 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

500 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-6429

685 Morro Ave
Ste C
Morro Bay, CA 93442
Phone (805) 772-7313

2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163

2 James Way
Ste 209
Pismo Beach, CA 93449
Phone (805) 549-6915

901 Oak Park Blvd
Ste 101
Pismo Beach, CA 93449
Phone (805) 481-2205

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

1414 E Main St
Ste 201
Santa Maria, CA 93454
Phone (805) 739-3112

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 6

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1346879731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 MORRO AVE STE C",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422233",
            "telephone_number": "805-772-7313",
            "fax_number": "805-772-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 MORRO AVE STE C",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934422233",
            "telephone_number": "805-772-7313",
            "fax_number": "805-772-0395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 James Way Ste 209",
            "address_purpose": "LOCATION",
            "city": "Pismo Beach",
            "state": "CA",
            "postal_code": "934494976",
            "country_code": "US",
            "telephone_number": "805-549-6915",
            "fax_number": "805-549-6916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Oak Park Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pismo Beach",
            "state": "CA",
            "postal_code": "934493409",
            "country_code": "US",
            "telephone_number": "805-481-2205",
            "fax_number": "805-481-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVINE",
        "first_name": "JENNIFER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "21259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morro Bay, CA

Sources for this page

Verify at the official NPI Registry.