Jan A Winetz, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G412450 Issued in CA

Practice address

2505 Samaritan Dr
Ste 405
San Jose, CA 95124-4006

Phone

(408) 356-8133

Fax

(408) 356-6923

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

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 2

Specialty

Internal Medicine

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH Specialty Services NV Requeijo PCGroup PAC ID 7618341926, 22 clinicians

Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
• Northbay Medical Center Hospital, Fairfield, CA, CCN 050367
• Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
• Alpine Skilled Nursing and Rehabilitation Center Nursing home, Reno, NV, CCN 295043

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Northbay Healthcare Group

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Medicare reassignment Care Compare group NPD
• CH Specialty Services NV Requeijo PC

  • Internal Medicine Physician
  • Carson City, NV
  • NPI 1598464406
  Medicare reassignment Care Compare group
• Curana Health of Nevada PLLC

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1649755646
  Medicare reassignment NPD
• Gad 3 LLC

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1538997119
  Medicare reassignment NPD
• Northbay Healthcare Group

  • Multi-Specialty Clinic/Center
  • Vacaville, CA
  • NPI 1760534713
  NPD
• Revive Reno LLC

  • Skilled Nursing Facility
  • Reno, NV
  • NPI 1346901311
  NPD (past)

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

• Healthflex Home Health Services

  • Home Health Agency
  • Oakland, CA
  • NPI 1326399296
  Care Compare affiliation
• Northbay Healthcare Group

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1932517299
  Care Compare affiliation
• Revive Reno LLC

  • Skilled Nursing Facility
  • Reno, NV
  • NPI 1346901311

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1790777852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "STE 405",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-356-8133",
            "fax_number": "408-356-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "address_2": "STE 405",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-356-8133",
            "fax_number": "408-356-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINETZ",
        "first_name": "JAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G412450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G412450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Lee Winborn
• John Robert Winckler, M.A., MFT
• Donald J Windham, BA
• Holifa Windom
• Roy Windom IV, MS, MBA
• Brian L Winkler, PH.D.
• Hayley Derome Winninghoff, MD
• Krystal Winslow, ASW
• Lindsay Elaine Winslow
• Marybeth Winslow

• Nephrology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.