Active NPI
Jonathan Abraham, DPM
- Foot & Ankle Surgery Podiatrist
- Concord, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5610
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
2272 Bacon St
Concord, CA 94520-2022
Phone (510) 581-1484
Hospital & facility affiliations
- John Muir Medical Center - Concord Campus
- Alta Bates Summit Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.65 of 100
- Quality
- 68.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 202 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 885 |
| Removal or shaving of skin growth | 362 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5610 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 5610 | CA | MD | Occupational Therapy Assistant |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coachella Valley Foot and Ankle Institute | Foot & Ankle Surgery | Current | Accepting new patients |
| Bay Area Foot Care, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Bay Area Foot Care Inc | Foot & Ankle Surgery | Current | 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
- jonathan.abraham.1@20181.direct.athenahealth.com
- 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.
-
- Foot & Ankle Surgery Podiatrist
- San Francisco, CA
- NPI 1508911892
CA, Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Palm Desert, CA
- NPI 1003284423
CA, Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- San Jose, CA
- NPI 1649136490
Foot & Ankle Surgery
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- General Acute Care Hospital
- Indio, CA
- NPI 1477584993
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.