Jerry William Pimentel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20475 Issued in CA

Practice address

2150 Colorado Ave
Turlock, CA 95382-2003

Phone

(209) 656-0183

Fax

(209) 656-0199

NPI assigned

Aug 27, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Huy N Dao DO Inc a Professional CorporationGroup PAC ID 2769549914, 2 clinicians

Turlock Wound Care IncGroup PAC ID 8325447543, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Huy N Dao DO Inc a Professional Corporation

  • Surgery Physician
  • Turlock, CA
  • NPI 1831337344
  Medicare reassignment Care Compare group
• Turlock Wound Care Inc

  • Surgery Physician
  • Turlock, CA
  • NPI 1164035101
  Medicare reassignment Care Compare group
• Emanuel Medical Group, Inc.

  • Family Medicine Physician
  • Turlock, CA
  • NPI 1275764615
  NPD (past)
• Michael L. Brodie

  • Family Medicine Physician
  • Turlock, CA
  • NPI 1336231406
  NPD (past)
• Sonia Mahi'S Nursing Corp

  • Primary Care Nurse Practitioner
  • Hilmar, CA
  • NPI 1861183261
  NPD (past)
• Vepema Medical Group

  • Emergency Medicine Physician
  • Turlock, CA
  • NPI 1356502496
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Medical Center of Modesto, Inc.

  • General Acute Care Hospital
  • Turlock, CA
  • NPI 1396087672
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1659504447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STANDIFORD AVE",
            "address_2": "STE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501159",
            "telephone_number": "209-661-4335",
            "fax_number": "209-579-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822003",
            "telephone_number": "209-656-0183",
            "fax_number": "209-656-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "JERRY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Craig Peskoff
• Emily Townsend Petromilli, AG-ACNP
• Linda Peyour
• An N Pham, MD
• Thomas Duy Pham, O.D.
• Marivic Pimentel
• Nuelia S Pimnetel
• Dorothy Pinedo
• Helen B Piro, PHARM.D.
• John B Piro, PHARM.D

• Physician Assistant in Turlock, CA
• Providers in Turlock, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.