Individual provider Active NPI

Jeremy Michael Ernst, DO

  • Psychiatry Physician
  • Folsom, CA
National Provider Identifier
1821357161
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A15123 Issued in CA
Practice address
2365 Iron Point Rd Ste 210
Folsom, CA 95630-8713
Phone
(925) 282-1778
NPI assigned
May 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A15123 CA Primary

Addresses

Primary practice location

2365 Iron Point Rd Ste 210
Folsom, CA 95630-8713

Mailing address

2365 Iron Point Rd Ste 210
Folsom, CA 95630-8713

Other practice location 1

3581 Palmer Dr Ste 202
Cameron Park, CA 95682-8237
Phone (530) 672-7000

Other practice location 2

3581 Palmer Dr Ste 602
Cameron Park, CA 95682-8238
Phone (530) 672-7000

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
I20170612002265 CA Practitioner - Psychiatry 9032487236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

2365 Iron Point Rd
Suite 210
Folsom, CA 95630-8713
Phone (925) 282-1778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A15123CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center Psychiatry CurrentSince Jul 1, 2017 Accepting new patients
Marshall Medical Center CurrentSince Jul 1, 2017 Accepting new patients
Pacific Coast Psychiatric Associates Inc Psychiatry CurrentSince May 4, 2024 Accepting new patients

Locations

3581 Palmer Dr
Ste 602
Cameron Park, CA 95682
Phone (530) 626-2920

3581 Palmer Dr
Ste 202
Cameron Park, CA 95682
Phone (530) 672-7000

1480 64th St
Ste 150
Emeryville, CA 94608
Phone (415) 296-5292

2365 Iron Point Rd
Ste 210
Folsom, CA 95630
Phone (925) 360-5264

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.jeremyernst@148377.advancedmd-direct.com

Organizations & group practices 3

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": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1821357161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 IRON POINT RD STE 210",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 IRON POINT RD STE 210",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308713",
            "telephone_number": "925-282-1778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3581 Palmer Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cameron Park",
            "state": "CA",
            "postal_code": "956828237",
            "country_code": "US",
            "telephone_number": "530-672-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3581 Palmer Dr Ste 602",
            "address_purpose": "LOCATION",
            "city": "Cameron Park",
            "state": "CA",
            "postal_code": "956828238",
            "country_code": "US",
            "telephone_number": "530-672-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERNST",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A15123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.