Individual provider Active NPI

Jonathan Abraham, DPM

  • Foot & Ankle Surgery Podiatrist
  • Concord, CA
National Provider Identifier
1508314808
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5610 Issued in CA
Practice address
2272 Bacon St
Concord, CA 94520-2022
Phone
(925) 676-3933
Fax
(925) 609-7255
NPI assigned
Sep 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5610 CA Primary

Addresses

Primary practice location

2272 Bacon St
Concord, CA 94520-2022

Mailing address

20130 Lake Chabot Rd Ste 202
Castro Valley, CA 94546-5340
Phone (510) 581-1484

Other practice location 1

228 N Wiget Ln
Walnut Creek, CA 94598-2404
Phone (925) 309-5407

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615001171 CA Practitioner - Podiatry 7810319118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Practice addresses (Care Compare)

2272 Bacon St
Concord, CA 94520-2022
Phone (510) 581-1484

Hospital & facility affiliations

  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
68.04
Promoting interoperability
99
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue202
Removal of skin lesions1-10
Removal of nail tissue885
Removal or shaving of skin growth362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5610CAMDFoot & Ankle Surgery Podiatrist
5610CAMDOccupational Therapy Assistant

Practice roles (8 of 9)

OrganizationSpecialtyStatusNew patients
Coachella Valley Foot and Ankle Institute Foot & Ankle Surgery CurrentSince Aug 1, 2020 Accepting new patients
Bay Area Foot Care, Inc Foot & Ankle Surgery CurrentSince Aug 30, 2021 Accepting new patients
Bay Area Foot Care Inc Foot & Ankle Surgery CurrentSince Aug 30, 2021 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
John Muir Health Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
John Muir Health Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients

Locations

20130 Lake Chabot Rd
Ste 202
Castro Valley, CA 94546
Phone (510) 581-1484

2272 Bacon St
Concord, CA 94520
Phone (510) 581-1484

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

411 30th St
Ste 314
Oakland, CA 94609
Phone (510) 465-6800

74000 Country Club Dr
Ste E4
Palm Desert, CA 92260
Phone (760) 773-3400

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

228 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 309-5407

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jonathan.abraham.1@20181.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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 2

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1508314808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20130 LAKE CHABOT RD STE 202",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465340",
            "telephone_number": "510-581-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 BACON ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202022",
            "telephone_number": "925-676-3933",
            "fax_number": "925-609-7255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 N Wiget Ln",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982404",
            "country_code": "US",
            "telephone_number": "925-309-5407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.