Individual provider Active NPI

Rishyur K Jothi, M.D.

  • Vascular Surgery Physician
  • Walnut Creek, CA
National Provider Identifier
1639268758
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A34962 Issued in CA
Practice address
108 Via Mantilla
Walnut Creek, CA 94598-3524
Phone
(925) 285-2093
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A34962 CA Primary

Addresses

Primary practice location

108 Via Mantilla
Walnut Creek, CA 94598-3524

Mailing address

108 Via Mantilla
Walnut Creek, CA 94598-3524
Phone (925) 285-2093

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
I20100721000602 CA Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Vascular Surgery 1951433275 Practice locations: Antioch, CA; Concord, CA; Danville, CA; Pleasanton, CA; San Ramon, CA; Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: General Surgery, Thoracic Surgery, Vascular Surgery
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 939-3000

2540 E St
John Muir MD Center
Concord, CA 94520-1906
Phone (925) 682-8200

6001 Norris Canyon Rd
San Ramon Ra MD Ctr
San Ramon, CA 94583-5400
Phone (925) 847-3000

Hospital & facility affiliations

  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34962CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Hospitals Past Accepting new patients

Organizations & group practices 1

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 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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639268758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 VIA MANTILLA",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983524",
            "telephone_number": "925-285-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 VIA MANTILLA",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983524",
            "telephone_number": "925-285-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOTHI",
        "first_name": "RISHYUR",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A34962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.