Active NPI
Jason Alan Berryhill, PA-C
- Medical Physician Assistant
- Auburn, CA
National Provider Identifier
1497191993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA22877
- Practice address
- 13555 Bowman Rd
Suite 100
Auburn, CA 95603-3156 - Phone
- (530) 885-3951
- NPI assigned
- May 12, 2013
- Last updated
- May 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA22877 | CA | Primary |
Addresses
Primary practice location
13555 Bowman Rd
Suite 100
Auburn, CA 95603-3156
Mailing address
1410 Lorimer Way
Roseville, CA 95747-6036
Phone (209) 534-6301
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160601000264 | CA | Order and Referring Only - Physician Assistant | 0941590186 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1907 Douglas Blvd
Suite 70
Roseville, CA 95661-3808
Phone (916) 783-0101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA22877 | CA | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
-
dba Med Care Medical Center
- Internal Medicine Physician
- Roseville, CA
- NPI 1033006333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368316800000",
"number": "1497191993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 LORIMER WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957476036",
"telephone_number": "209-534-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13555 BOWMAN RD",
"address_2": "SUITE 100",
"city": "AUBURN",
"state": "CA",
"postal_code": "956033156",
"telephone_number": "530-885-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRYHILL",
"first_name": "JASON",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-12",
"last_updated": "2013-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA22877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.