Active NPI
Alpana Bala Jayadevan, NP
- Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95039036
- Practice address
- 3900 5TH Ave Ste 110
San Diego, CA 92103-3122 - Phone
- (858) 554-1212
- NPI assigned
- Feb 20, 2020
- Last updated
- Apr 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN213404 | GA | |
| Nurse Practitioner | 363L00000X | 95039036 | CA | Primary |
Addresses
Primary practice location
3900 5TH Ave Ste 110
San Diego, CA 92103-3122
Mailing address
3900 5TH Ave Ste 110
San Diego, CA 92103-3122
Phone (858) 554-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3900 5TH Ave
Suite 110
San Diego, CA 92103-3122
Phone (858) 554-1212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95039036 | CA | MD | Nurse Practitioner |
| RN213404 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Arthritis & Rheumatology Associates-Ga, LLC | Current | Accepting new patients | |
| Cumming Rheumatology and Arthritis LLC | Current | Accepting new patients |
Locations
2255 Glades Rd
Ste 228W
Boca Raton, FL 33431
Phone (561) 699-7101
3970 Dep Bill Cantrell Memorial Rd
Ste 203
Cumming, GA 30040
Phone (770) 887-5159
3970 Deputy Bill Cantrell Mem
Ste 203
Cumming, GA 30040
Phone (770) 887-5159
989 Lawrenceville Hwy
Lawrenceville, GA 30046
Phone (770) 962-1616
5555 Ptree Dunwoody Rd NE
Ste 293
Sandy Springs, GA 30342
Phone (404) 252-0230
Interoperability endpoints
- alpana.jayadevan.p81@direct.aara1.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Rheumatology Physician
- Cumming, GA
- NPI 1851742068
-
- Medical Specialty Clinic/Center
- Cumming, GA
- NPI 1992014872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1386277036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 5TH AVE STE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033122",
"telephone_number": "858-554-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 5TH AVE STE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033122",
"telephone_number": "858-554-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYADEVAN",
"first_name": "ALPANA",
"middle_name": "BALA",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN213404",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95039036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Edmund Walt Jay, D.D.S.
- Sasha Marie Medoff Jay, ASW
- Saumya Jayakumar, MD, FRCPC
- Dulshan Weeratunga Jayasekera
- Priyantha Kumara Jayasundara, N.P.
- Jaye Venuti, DDS Prof. Dental Corp
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.