NPIMap

Individual provider Active NPI

Jodi Parungao

  • Family Medicine Physician
  • Ukiah, CA
National Provider Identifier
1932528965
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A157212 Issued in CA
Practice address
1050 N State St
Ukiah, CA 95482-3414
Phone
(707) 463-7495
NPI assigned
Apr 7, 2014
Last updated
Dec 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RS2014-0421 NM
Family Medicine Physician 207Q00000X A157212 CA Primary

Addresses

Primary practice location

1050 N State St
Ukiah, CA 95482-3414

Mailing address

1050 N State St
Ukiah, CA 95482-3414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016003217 CA Practitioner - Family Practice 1355560954 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Round Valley Indian Health Center, Inc.Group PAC ID 9234128927, 17 clinicians
Long Valley Health CenterGroup PAC ID 8628965852, 11 clinicians

Practice addresses (Care Compare)

24065 Biggar LN
Covelo, CA 95428-9669
Phone (707) 983-6404

50 Branscomb Rd
Laytonville, CA 95454-9744
Phone (707) 984-6131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157212CAMDFamily Medicine Physician
RS2014-0421NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Tribal Health Project, Inc. CurrentSince Sep 3, 2021 Accepting new patients
Pacific Redwood Medical Group Inc Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
Kaweah Delta Health Care District CurrentSince Aug 15, 2018 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jun 1, 2022 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jun 1, 2022 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Long Valley Health Center CurrentSince Jun 19, 2024 Accepting new patients
Kaweah Delta Health Care District CurrentSince Aug 15, 2018 Accepting new patients
Round Valley Indian Health Center, Inc. Family Medicine CurrentSince Feb 26, 2025 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Round Valley Indian Health Center Past Accepting new patients
St. Joseph Health Northern California, LLC PastSince Feb 26, 2025 Accepting new patients

Locations

50 Branscomb Rd
Laytonville, CA 95454
Phone (707) 984-6131

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

6991 N State St
Redwood Vly, CA 95470
Phone (707) 467-5620

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15156/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AECBBA

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1932528965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N STATE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823414",
            "telephone_number": "707-463-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARUNGAO",
        "first_name": "JODI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2014-0421",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A157212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.