Josephine Aguilar-Jakthong, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Grass Valley, CA
NPI 1710249693 · NPPES record last updated Aug 4, 2022
Key facts
- NPI
- 1710249693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- A140238 (CA)
- Practice address
- 155 Glasson Way
Grass Valley, CA 95945-5723 - Phone
- (530) 274-6000
- NPI assigned
- Jun 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- University of California, Geffen School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First Choice Physician Partners
Practice addresses (Care Compare)
300 Utah Ave
Suite 150
South San Francisco, CA 94080-6806
Phone (650) 835-4477
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210115001267 | CA | Practitioner - Pathology | 1850704602 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A140238 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current |
Accepting new patients | |
| Sierra Nevada Gastroenterology Medical Associates, Inc. | Current |
Accepting new patients | |
| First Choice Physician Partners | Current |
Accepting new patients | |
| First Choice Physician Partners | Past | Accepting new patients |
Locations
300 Sierra College Dr
Ste 105
Grass Valley, CA 95945
Phone (530) 272-0527
155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
5601 Norris Canyon Rd
Ste 200
San Ramon, CA 94583
Phone (925) 277-3070
300 Utah Ave
Ste 150
South San Francisco, CA 94080
Phone (650) 835-4477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A140238 | CA | Yes |
Addresses
Primary practice location
155 Glasson Way
Grass Valley, CA 95945-5723
Mailing address
155 Glasson Way
Grass Valley, CA 95945-5723
Phone (530) 274-6000
NPI Registry JSON
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1710249693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 GLASSON WAY",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455723",
"telephone_number": "530-274-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 GLASSON WAY",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455723",
"telephone_number": "530-274-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR-JAKTHONG",
"first_name": "JOSEPHINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-15",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A140238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
- Amber Dawn Adams
- R Eugene Adams
- Arnold Adicoff
- Aegis Treatment Centers, LLC
- Melisa Moore Agness
- Raymond David Aguilar
- Sarah L Aguilar
- Arianne Marie Aguirre
- Virgina Louise Ahrenholtz
- Kim Albanese
All providers in Grass Valley, CA · Anatomic Pathology & Clinical Pathology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.