Individual provider Active NPI

Jaisri Tomara Maharaj, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Los Gatos, CA
National Provider Identifier
1629380464
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
122381 Issued in CA
Practice address
15899 Los Gatos Almaden Rd Ste 12
Los Gatos, CA 95032-3739
Phone
(408) 358-2663
Fax
(408) 358-1683
NPI assigned
Jul 9, 2010
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 26642 WV
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 8631834-1205 UT
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 122381 CA Primary

Addresses

Primary practice location

15899 Los Gatos Almaden Rd Ste 12
Los Gatos, CA 95032-3739

Mailing address

15899 Los Gatos Almaden Rd Ste 12
Los Gatos, CA 95032-3739

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
I20200430002293 CA Practitioner - Endocrinology 9335371673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

15899 Los Gatos Almaden Rd
Suite 12
Los Gatos, CA 95032-3739
Phone (408) 358-2663

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

365 Lennon LN
Walnut Creek, CA 94598-5915

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122381CAMDEndocrinology, Diabetes & Metabolism Physician
8631834-1205UTMDEndocrinology, Diabetes & Metabolism Physician
26642WVMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Current Accepting new patients
Bay Area Surgical Specialists Inc a Medical Corporation CurrentSince Jan 1, 2021 Accepting new patients
Bass Medical Group CurrentSince Jan 1, 2021 Accepting new patients
Bass Medical Group Past Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients
Bass Medical Group PastSince Mar 11, 2025 Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

15899 Los Gatos Almaden Rd
Ste 12
Los Gatos, CA 95032
Phone (408) 358-2663

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Interoperability endpoints

  • Direct secure messaging: jmaharaj141802@ehr.johnmuirhealth.com

Organizations & group practices 7

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 1

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1629380464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15899 LOS GATOS ALMADEN RD STE 12",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15899 LOS GATOS ALMADEN RD STE 12",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323739",
            "telephone_number": "408-358-2663",
            "fax_number": "408-358-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHARAJ",
        "first_name": "JAISRI",
        "middle_name": "TOMARA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "26642",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "UT",
            "license": "8631834-1205",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "122381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.