NPIMap

Individual provider Active NPI

Jacie Christine Touart, PA-C

  • Medical Physician Assistant
  • Sacramento, CA
National Provider Identifier
1598913410
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19848 Issued in CA
Practice address
4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590
Phone
(916) 419-9900
Fax
(916) 419-9699
NPI assigned
Sep 4, 2008
Last updated
Apr 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA19848 CA Primary

Addresses

Primary practice location

4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590

Mailing address

4420 Duckhorn Dr Ste 200
Sacramento, CA 95834-2590
Phone (916) 419-9900

Other names 1

  • Jacie Christine Freimuth Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090120000061 CA Practitioner - Physician Assistant 9436120722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19848CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Oct 1, 2020 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Nov 1, 2018 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Nov 1, 2018 Accepting new patients
Spine & Nerve Diagnostic Center CurrentSince Mar 4, 2015 Accepting new patients
Spine & Nerve Diagnostic Center CurrentSince Mar 4, 2015 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2020 Accepting new patients
Lodi Memorial Hospital Association Inc Past Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

2415 W Vine St
Ste 105
Lodi, CA 95242
Phone (209) 333-3121

801 S Ham Ln
Ste S
Lodi, CA 95242
Phone (209) 333-8066

1528 Eureka Rd
Ste 103
Roseville, CA 95661
Phone (916) 772-5325

4420 Duckhorn Dr
Ste 200
Sacramento, CA 95834
Phone (916) 419-9900

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1598913410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 DUCKHORN DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342590",
            "telephone_number": "916-419-9900",
            "fax_number": "916-419-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 DUCKHORN DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958342590",
            "telephone_number": "916-419-9900",
            "fax_number": "916-419-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUART",
        "first_name": "JACIE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACIE",
            "last_name": "FREIMUTH",
            "middle_name": "CHRISTINE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.