Bushra Jawaid, M.D.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

A107456 Issued in CA

Practice address

200 Cottage Ave Ste 103
Manteca, CA 95336-4935

Phone

(209) 624-5800

NPI assigned

Oct 2, 2009

Last updated

Jan 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axis Community Health IncGroup PAC ID 7012975071, shared by 5 NPIs, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marie Star Home Health Services, LLC Home health agency, Concord, CA, CCN 059518

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marie Star Home Health Services LLC

  dba Aims Healthcare

  • Home Health Agency
  • San Ramon, CA
  • NPI 1720345978
  Care Compare affiliation

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1427383850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 COUNTRY CLUB TER",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945066064",
            "telephone_number": "650-787-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COTTAGE AVE STE 103",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364935",
            "telephone_number": "209-624-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWAID",
        "first_name": "BUSHRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "A107456",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Andrew Harvey DPM, Inc.
• Dora Renee Jackson
• Kalsoom Jalali
• Imee Laurenaria Janaban
• Andrew C. Jaramillo, MD
• JBJC Inc (Pine Street Physical & Occupational Therapy)
• Timothy Allen Jeffers III, BA
• Oi Lan Jen
• Kara Elise Jenkins, DPT
• Manop Edward Jennings, B.A.

• Federally Qualified Health Center (FQHC) in Manteca, CA
• Providers in Manteca, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.

Verify at the official NPI Registry.