NPIMap

Individual provider Active NPI

Jason Call, PA-C

  • Physician Assistant
  • Carson City, NV
National Provider Identifier
1588658660
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1685 Issued in NV
Practice address
935 Mica Dr Ste 13
Carson City, NV 89705-7181
Phone
(775) 783-3065
Fax
(775) 267-1829
NPI assigned
Sep 6, 2005
Last updated
Apr 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA53078 CA
Physician Assistant 363A00000X PA1685 NV Primary

Addresses

Primary practice location

935 Mica Dr Ste 13
Carson City, NV 89705-7181

Mailing address

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Phone (530) 543-5659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160321002511 CA Practitioner - Physician Assistant 8921329095 Reassigns benefits to 4 organizations
I20160322000523 NV Practitioner - Physician Assistant 8921329095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians

Practice addresses (Care Compare)

155 Hwy 50
Stateline, NV 89449-9816
Phone (775) 589-8900

165 Hwy 50
Stateline, NV 89449-9816
Phone (775) 589-8950

2074 Lake Tahoe Blvd
Suite 4
South Lake Tahoe, CA 96150-6408
Phone (530) 543-5554

2170 B S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 539-6620

2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5807

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53078CAMDPhysical Therapy Assistant
PA53078CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp Physician Assistant CurrentSince Feb 13, 2016 Accepting new patients

Locations

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5659

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620

935 Mica Dr
Ste 13
Carson City, NV 89705
Phone (775) 783-3065

Interoperability endpoints

  • Direct secure messaging: jcall106012@direct.renown.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1588658660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506207",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MICA DR STE 13",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897057181",
            "telephone_number": "775-783-3065",
            "fax_number": "775-267-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALL",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53078",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.