Individual provider Active NPI

Jaime Eduardo Zelaya Jr., PH.D., M.C.R.

  • Neurology Physician
  • Fresno, CA
National Provider Identifier
1508248568
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A161806 Issued in CA
Practice address
7257 N Fresno St FL 1
Fresno, CA 93720-2950
Phone
(310) 869-8662
NPI assigned
Jun 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A161806 CA Primary

Addresses

Primary practice location

7257 N Fresno St FL 1
Fresno, CA 93720-2950

Mailing address

7257 N Fresno St FL 1
Fresno, CA 93720-2950
Phone (310) 869-8662

Other practice location 1

127 S San Vicente Blvd Ste A6600
Los Angeles, CA 90048-3311
Phone (310) 248-6472

Other practice location 2

3181 SW Sam Jackson Park Rd
Ohsu
Portland, OR 97239-3011
Phone (503) 494-8220

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
I20210712003077 CA Practitioner - Neurology 1759783814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Oregon Health Sciences University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161806CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince Aug 1, 2023 Accepting new patients

Locations

7257 N Fresno St
Fl 1
Fresno, CA 93720
Phone (310) 869-8662

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1508248568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 N FRESNO ST FL 1",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202950",
            "telephone_number": "310-869-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 N FRESNO ST FL 1",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202950",
            "telephone_number": "310-869-8662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 S San Vicente Blvd Ste A6600",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900483311",
            "country_code": "US",
            "telephone_number": "310-248-6472",
            "fax_number": "310-423-0148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_2": "OHSU",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-8220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELAYA",
        "first_name": "JAIME",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D., M.C.R.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A161806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.