NPIMap

Individual provider Active NPI

Jyothi Bachwani, M.D.

  • Internal Medicine Physician
  • Orinda, CA
National Provider Identifier
1659489979
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
229847 Issued in MA
Practice address
12 Camino Encinas
2'ND Floor
Orinda, CA 94563-3304
Phone
(510) 204-8189
Fax
(925) 254-8488
NPI assigned
Aug 27, 2006
Last updated
Mar 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229847 MA Primary

Addresses

Primary practice location

12 Camino Encinas
2'ND Floor
Orinda, CA 94563-3304

Mailing address

5237 Genovesio Dr
Pleasanton, CA 94588-6007
Phone (781) 266-8913

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
I20081117000347 CA Practitioner - Internal Medicine 8123025418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 886-3400

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 727-3256

3100 Telegraph Ave
Oakland, CA 94609-3239
Phone (510) 204-8290

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

350 30TH St
Suite 100
Oakland, CA 94609-3422
Phone (510) 204-8290

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100924CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter West Bay Medical Foundation Internal Medicine Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine Past Accepting new patients

Locations

20101 Lake Chabot Rd
Fl 3
Castro Valley, CA 94546
Phone (510) 886-3400

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

3687 Mt Diablo Blvd
Ste 200
Lafayette, CA 94549
Phone (510) 204-6660

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

12 Camino Encinas
Fl 2
Orinda, CA 94563
Phone (510) 204-8168

795 El Camino Real
#1112
Palo Alto, CA 94301

Interoperability endpoints

  • Direct secure messaging: jbachwani18445@hisp.ehr.sutterhealth.org

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 6

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1659489979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 GENOVESIO DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945886007",
            "telephone_number": "781-266-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CAMINO ENCINAS",
            "address_2": "2'ND FLOOR",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633304",
            "telephone_number": "510-204-8189",
            "fax_number": "925-254-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHWANI",
        "first_name": "JYOTHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "229847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

Verify at the official NPI Registry.