Individual provider Active NPI

Jashvant Gangaram Patel, M.D.

  • Specialist
  • San Luis Obispo, CA
National Provider Identifier
1619955994
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A75746 Issued in CA
Practice address
10 Santa Rosa St
Ste. 201
San Luis Obispo, CA 93405-5825
Phone
(805) 544-7246
Fax
(805) 597-8354
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A75746 CA Primary

Addresses

Primary practice location

10 Santa Rosa St
Ste. 201
San Luis Obispo, CA 93405-5825

Mailing address

PO Box 4659
San Luis Obispo, CA 93403-4659
Phone (805) 786-4878

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050325000755 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 8426004086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Management Specialists Medical GroupGroup PAC ID 2860448685, 13 clinicians

Practice addresses (Care Compare)

10 Santa Rosa St
Suite 201
San Luis Obispo, CA 93405-5826
Phone (805) 544-7246

Hospital & facility affiliations

  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506

Merit-based Incentive Payment System (MIPS)

Final score
33.99 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
69.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75746CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Specialists Medical Group Specialist CurrentSince Aug 1, 2000 Accepting new patients
Pain Management Specialists Medical Group Specialist CurrentSince Aug 1, 2000 Accepting new patients
Dignity Health Past Accepting new patients
Lompoc Valley Medical Center Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Locations

5000 San Palo Rd
Atascadero, CA 93422
Phone (805) 470-1700

1101 E Ocean Ave
Lompoc, CA 93436
Phone (805) 735-8365

1201 E Ocean Ave
Ste B
Lompoc, CA 93436
Phone (805) 735-1155

10 Santa Rosa St
San Luis Obispo, CA 93405
Phone (805) 461-9192

10 Santa Rosa St
#201
San Luis Obispo, CA 93405
Phone (805) 544-7246

314 S Stratford Ave
Santa Maria, CA 93454
Phone (805) 922-5655

1300 E Cypress St
Ste E1A
Santa Maria, CA 93454
Phone (805) 597-8386

116 S Palisade Dr
Ste 208
Santa Maria, CA 93454
Phone (805) 347-2100

10 Santa Rosa St
Ste 201
Sn Luis Obisp, CA 93405
Phone (805) 544-7246

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1619955994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4659",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934034659",
            "telephone_number": "805-786-4878",
            "fax_number": "805-597-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SANTA ROSA ST",
            "address_2": "STE. 201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055825",
            "telephone_number": "805-544-7246",
            "fax_number": "805-597-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JASHVANT",
        "middle_name": "GANGARAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A75746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.