Active NPI
Jasmine Mehta, P.T
- Orthopedic Physical Therapist
- San Ramon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 12647 Alcosta Blvd Ste 100
San Ramon, CA 94583-4439 - Phone
- (925) 939-8585
- NPI assigned
- Oct 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 292138 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
12647 Alcosta Blvd Ste 100
San Ramon, CA 94583-4439
Mailing address
PO Box 31396
Walnut Creek, CA 94598-8396
Phone (925) 939-8585
Other practice location 1
2450 Washington Ave
San Leandro, CA 94577-5996
Phone (510) 577-0777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12647 Alcosta Blvd
Suite 100
San Ramon, CA 94583-4439
Phone (925) 933-8585
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292138 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Golden State Orthopedics & Spine | Current | Accepting new patients | |
| Golden State Orthopedics & Spine | Past | Accepting new patients |
Locations
12647 Alcosta Blvd
Ste 100
San Ramon, CA 94583
Phone (259) 398-9585
2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820
Interoperability endpoints
- jasmine.mehta.p1@direct.muirortho.nextgenshare.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Walnut Creek, CA
- NPI 1972552990
-
- Orthopaedic Surgery Physician
- Oakland, CA
- NPI 1164175592
-
- Orthopaedic Surgery Physician
- San Jose, CA
- NPI 1245021401
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1457004897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1548719404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31396",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945988396",
"telephone_number": "925-939-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12647 ALCOSTA BLVD STE 100",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834439",
"telephone_number": "925-939-8585"
}
],
"practiceLocations": [
{
"address_1": "2450 Washington Ave",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945775996",
"country_code": "US",
"telephone_number": "510-577-0777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "JASMINE",
"credential": "P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "292138",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.