Individual provider Active NPI

Jayaram S. Hariharan, M.D.

  • Family Medicine Physician
  • San Ramon, CA
National Provider Identifier
1790004638
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A111419 Issued in CA
Practice address
5601 Norris Canyon Rd
#200
San Ramon, CA 94583-5407
Phone
(925) 277-3070
Fax
(925) 866-8205
NPI assigned
May 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A111419 CA Primary

Addresses

Primary practice location

5601 Norris Canyon Rd
#200
San Ramon, CA 94583-5407

Mailing address

1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597-2168

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120420000371 CA Practitioner - Family PracticePractitioner - Sports Medicine 4587851399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

2400 Balfour Rd
Suite 120
Brentwood, CA 94513-4956
Phone (925) 308-8112

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network CurrentSince Apr 11, 2016 Accepting new patients
Inland Empire Hospital Services Association Family Medicine Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

5860 Owens Dr
Ste 210
Pleasanton, CA 94588
Phone (925) 224-0740

5601 Norris Canyon Rd
Ste 200
San Ramon, CA 94583
Phone (925) 277-3070

1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597

1450 Treat Blvd
Ste 320
Walnut Creek, CA 94597
Phone (925) 296-9827

Interoperability endpoints

  • Direct secure messaging: jhariharan57714@ehr.johnmuirhealth.com

Organizations & group practices 2

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": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1790004638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD",
            "address_2": "STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 NORRIS CANYON RD",
            "address_2": "#200",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835407",
            "telephone_number": "925-277-3070",
            "fax_number": "925-866-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIHARAN",
        "first_name": "JAYARAM",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A111419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.