Individual provider Active NPI

Jolly Parikh, FNP

  • Family Nurse Practitioner
  • Fairfield, CA
National Provider Identifier
1891302659
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015538 Issued in CA
Practice address
2500 Hilborn Rd
Fairfield, CA 94534-1097
Phone
(707) 646-5599
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015538 CA Primary

Addresses

Primary practice location

2500 Hilborn Rd
Fairfield, CA 94534-1097

Mailing address

412 Havenwood CT
Vacaville, CA 95688-9271
Phone (707) 685-7712

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jolly.parikh@northbay.org NorthBay Healthcare Group

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105000853 CA Practitioner - Nurse Practitioner 2264845627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015538CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group CurrentSince Jan 1, 2021 Accepting new patients
Northbay Healthcare Group Current Accepting new patients

Locations

2500 Hilborn Rd
Fairfield, CA 94534
Phone (707) 646-3445

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

1010 Nut Tree Rd
Ste 200
Vacaville, CA 95687
Phone (707) 254-7117

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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1891302659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 HAVENWOOD CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889271",
            "telephone_number": "707-685-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HILBORN RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341097",
            "telephone_number": "707-646-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "JOLLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jolly.parikh@northbay.org",
            "affiliation": "Y",
            "affiliationName": "NorthBay Healthcare Group",
            "address_1": "2500 Hilborn Rd",
            "city": "Fairfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945341097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.