Individual provider Active NPI

Jason Marshall Hiatt, DPM

  • Foot & Ankle Surgery Podiatrist
  • Modesto, CA
National Provider Identifier
1760580310
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4350 Issued in CA
Practice address
1401 Spanos CT
Suite 104
Modesto, CA 95355-2810
Phone
(209) 525-3150
Fax
(209) 525-3153
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X E4350 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E4350 CA Primary

Addresses

Primary practice location

1401 Spanos CT
Suite 104
Modesto, CA 95355-2810

Mailing address

PO Box 4512
Walnut Creek, CA 94596-0512
Phone (925) 934-3536

Other identifiers 3

IdentifierTypeStateIssuer
000E43500OtherCABLUE SHIELD
000E43500MedicaidCA
480033874OtherCARAILROAD MEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331001084 CA Practitioner - Podiatry 2860449980 Reassigns benefits to 2 organizations
Practice locations: Modesto, CA; Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Practice addresses (Care Compare)

228 N Wiget LN
Walnut Creek, CA 94598-2404
Phone (925) 309-5407

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
68.04
Promoting interoperability
99
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue99
Removal of skin lesions1-10
Removal of nail tissue528
Removal or shaving of skin growth399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4350CAMDSpecialist
E4350CAMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bay Area Foot Care, Inc Sports Medicine CurrentSince Apr 1, 2018 Accepting new patients
Bay Area Foot Care Inc Foot & Ankle Surgery CurrentSince Apr 1, 2018 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Jul 8, 2018 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

19845 Lake Chabot Rd
Ste 301
Castro Valley, CA 94546
Phone (510) 581-1484

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

411 30th St
Ste 314
Oakland, CA 94609
Phone (510) 465-6800

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

15035 E 14th St
Ste A
San Leandro, CA 94578
Phone (510) 278-9350

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

228 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 309-5407

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jason.hiatt.1@20181.direct.athenahealth.com
  • Direct secure messaging: jhiatt32024@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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1760580310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4512",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945960512",
            "telephone_number": "925-934-3536",
            "fax_number": "925-934-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT",
            "address_2": "SUITE 104",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552810",
            "telephone_number": "209-525-3150",
            "fax_number": "209-525-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIATT",
        "first_name": "JASON",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E4350",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000E43500",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E43500",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033874",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.