Individual provider Active NPI

Jennifer Beth Taylor, M.D.

  • Ophthalmology Physician
  • Alameda, CA
National Provider Identifier
1902011851
Registry record updated Nov 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A102837 Issued in CA
Practice address
2241 Central Ave Ste a
Alameda, CA 94501-4430
Phone
(510) 522-0377
Fax
(510) 522-5372
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A102837 CA Primary

Addresses

Primary practice location

2241 Central Ave Ste a
Alameda, CA 94501-4430

Mailing address

2241 Central Ave Ste a
Alameda, CA 94501-4430
Phone (510) 522-0377

Other names 1

  • Dr. Jennifer Beth Fisher Former name

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
I20121018000118 CA Practitioner - Ophthalmology 2466580634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Perelman School of Med at the University of Pennsylvania, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SF Bay EyeGroup PAC ID 6305133893, 4 clinicians

Practice addresses (Care Compare)

1442 Webster St
Alameda, CA 94501-3339
Phone (510) 522-0377

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as group
Quality
95.61
Improvement activities
40
Cost
74.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SF Bay Eye Ophthalmology CurrentSince Jul 25, 2016 Accepting new patients

Locations

2241 Central Ave
Ste A
Alameda, CA 94501
Phone (510) 522-0377

1442 Webster St
Alameda, CA 94501
Phone (510) 522-0377

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jtaylor@alamedaeye.intellechartdirect.net

Organizations & group practices 1

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322265600000",
    "number": "1902011851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 CENTRAL AVE STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014430",
            "telephone_number": "510-522-0377",
            "fax_number": "510-522-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 CENTRAL AVE STE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014430",
            "telephone_number": "510-522-0377",
            "fax_number": "510-522-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A102837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FISHER",
            "middle_name": "BETH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.