Active NPI
Marcelina Jasmine Silva, D.O.
- Interventional Pain Medicine Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 20A13068
- Practice address
- 450 N Wiget LN
Walnut Creek, CA 94598-2408 - Phone
- (925) 482-8151
- Fax
- (925) 482-1166
- NPI assigned
- Mar 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 20A13068 | CA | Primary |
Addresses
Primary practice location
450 N Wiget LN
Walnut Creek, CA 94598-2408
Mailing address
450 N Wiget LN
Walnut Creek, CA 94598-2408
Phone (925) 482-8151
Other names 1
- Jasmine Silva
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- College of Osteo Med of the Pacific at Pomona, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
380 Sierra College Dr
Suite 200
Grass Valley, CA 95945-5092
Phone (530) 477-0893
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13068 | CA | MD | Interventional Pain Medicine Physician |
| 13068 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MJ Silva Medical Corporation | Interventional Pain Medicine | Current | Accepting new patients |
Locations
111 Bank St
Grass Valley, CA 95945
Phone (530) 263-1413
380 Sierra College Dr
Ste 200
Grass Valley, CA 95945
Phone (530) 477-0893
408 Sierra College Dr
Grass Valley, CA 95945
Phone (530) 271-2282
1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488
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.
-
- Interventional Pain Medicine Physician
- Grass Valley, CA
- NPI 1023833258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1942576350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 N WIGET LN",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982408",
"telephone_number": "925-482-8151",
"fax_number": "925-482-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N WIGET LN",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982408",
"telephone_number": "925-482-8151",
"fax_number": "925-482-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVA",
"first_name": "MARCELINA JASMINE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-29",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "20A13068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASMINE",
"last_name": "SILVA",
"credential": "D. O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.