Individual provider Active NPI

Jasmine Michelle Jarrard, PA

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1679908362
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53896 Issued in CA
Practice address
1085 Valencia St
San Francisco, CA 94110-2405
Phone
(415) 432-7889
Fax
(415) 432-2701
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 007015 GA
Physician Assistant 363A00000X 53896 CA Primary

Addresses

Primary practice location

1085 Valencia St
San Francisco, CA 94110-2405

Mailing address

3400 Data Dr
Attn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131118001548 GA Practitioner - Physician Assistant 9931335155
I20170418001250 CA Practitioner - Physician Assistant 9931335155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCSF Health Medical FoundationGroup PAC ID 9436239878, 65 clinicians

Practice addresses (Care Compare)

199 W Portal Ave
San Francisco, CA 94127-1305
Phone (415) 821-8798

2395 Lombard St
San Francisco, CA 94123-2601
Phone (415) 796-2242

3900 Piedmont Ave
Oakland, CA 94611-5352
Phone (415) 432-7899

747 52ND St
Oakland, CA 94609-1809
Phone (510) 428-3000

750 Redwood Hwy Frontage Rd
Suite 1204
Mill Valley, CA 94941-2483
Phone (415) 384-4778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007015GAMDProfessional Counselor
53896CAMDRecreation Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Community Health Centers CurrentSince Mar 11, 2017 Accepting new patients
Open Door Community Health Centers CurrentSince Mar 11, 2017 Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051

Interoperability endpoints

  • Direct secure messaging: jasmine.jarrard@guc.eclinicaldirectplus.com
  • Direct secure messaging: jjarrard370798@direct-ucsfmedicalcenter.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1679908362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "ATTN: CREDENTIALING/PAYER ENROLLMENT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 VALENCIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102405",
            "telephone_number": "415-432-7889",
            "fax_number": "415-432-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRARD",
        "first_name": "JASMINE",
        "middle_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "007015",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.