NPIMap

Individual provider Active NPI

Jayme L Rock-Willoughby, D.O.

  • Cardiovascular Disease Physician
  • Monterey, CA
National Provider Identifier
1598924573
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
18263 Issued in CA
Practice address
30 Garden CT Ste B
Monterey, CA 93940-5302
Phone
(831) 647-1123
Fax
(831) 886-3647
NPI assigned
Jun 5, 2008
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 18263 CA Primary
Nuclear Cardiology Physician 207UN0901X 18263 CA

Addresses

Primary practice location

30 Garden CT Ste B
Monterey, CA 93940-5302

Mailing address

30 Garden CT Ste B
Monterey, CA 93940-5302
Phone (831) 647-1123

Other identifiers 1

IdentifierTypeStateIssuer
2966634MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 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
I20090828000104 OH Practitioner - Internal Medicine 7012062912 Reassigns benefits to 1 organization
I20200622001283 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012062912 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montage Medical GroupGroup PAC ID 6406901941, 125 clinicians

Practice addresses (Care Compare)

23625 Holman Hwy
Monterey, CA 93940-5902
Phone (831) 624-5311

30 Garden CT
B
Monterey, CA 93940-5302
Phone (831) 647-1123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
18263CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince Jun 1, 2020 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 31, 2009 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 14, 2020 Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Aug 31, 2009 Accepting new patients
Montage Medical Group Internal Medicine CurrentSince Jul 21, 2020 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Jun 1, 2020 Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

2 Upper Ragsdale Dr
Bldg A
Monterey, CA 93940
Phone (831) 333-3040

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

30 Garden Ct
#B
Monterey, CA 93940
Phone (831) 647-1123

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5350 Frantz Rd
Dublin, OH 43016

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

260 Polaris Pkwy
Westerville, OH 43082
Phone (614) 533-3470

260 Polaris Pkwy
Fl 2
Westerville, OH 43082
Phone (614) 533-3470

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1598924573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GARDEN CT STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405302",
            "telephone_number": "831-647-1123",
            "fax_number": "831-886-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GARDEN CT STE B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405302",
            "telephone_number": "831-647-1123",
            "fax_number": "831-886-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK-WILLOUGHBY",
        "first_name": "JAYME",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "18263",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "18263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2966634",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.