Active NPI
Jayesh Mahesh Bellara
- Physical Therapist
- Los Banos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-300339
- Practice address
- 1400 S Mercey Springs Rd Ste I
Los Banos, CA 93635-4928 - Phone
- (209) 710-1011
- NPI assigned
- Apr 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12692 | CT | |
| Physical Therapist | 225100000X | PT-300339 | CA | Primary |
Addresses
Primary practice location
1400 S Mercey Springs Rd Ste I
Los Banos, CA 93635-4928
Mailing address
1881 Summit Dr
Los Banos, CA 93635-8308
Phone (201) 780-6509
Other practice location 1
14 Westport Ave
Norwalk, CT 06851-3915
Phone (208) 845-8000
Other names 1
- Jayesh M Bellara
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 67.73 of 100
- Quality
- 41.21
- Improvement activities
- 40
- Cost
- 83.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-300339 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Bear Physical Therapy Sports Injury Center, Inc | Physical Therapist | Current | Accepting new patients |
| Gold Country Therapies, Inc | Past | Accepting new patients |
Locations
1400 S Mercey Springs Rd
Ste I
Los Banos, CA 93635
Phone (209) 710-1011
1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946
1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288
1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Modesto, CA
- NPI 1811084676
Physical Therapist
-
- Physical Therapy Clinic/Center
- Valley Springs, CA
- NPI 1447658067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1861073280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 SUMMIT DR",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936358308",
"telephone_number": "201-780-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S MERCEY SPRINGS RD STE I",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936354928",
"telephone_number": "209-710-1011"
}
],
"practiceLocations": [
{
"address_1": "14 Westport Ave",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CT",
"postal_code": "068513915",
"country_code": "US",
"telephone_number": "208-845-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELLARA",
"first_name": "JAYESH",
"middle_name": "MAHESH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-16",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "12692",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT-300339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAYESH",
"last_name": "BELLARA",
"middle_name": "M",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.