Active NPI
James L Pertsch, M.D.
- Surgery of the Hand (Plastic Surgery) Physician
- San Mateo, CA
National Provider Identifier
1952340176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- G62677
- Practice address
- 104 St.Matthews Ave
San Mateo, CA 94401-2807 - Phone
- (650) 344-8700
- Fax
- (650) 344-8187
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G62677 | CA | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | G62677 | CA | Primary |
Addresses
Primary practice location
104 St.Matthews Ave
San Mateo, CA 94401-2807
Mailing address
104 St.Matthews Ave
San Mateo, CA 94401-2807
Phone (650) 344-8700
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
- Plastic and Reconstructive Surgery
- Education
- University of Maryland School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
104 Saint Matthews Ave
San Mateo, CA 94401-2807
Phone (650) 344-8700
Hospital & facility affiliations
- Peninsula Medical Center
- California Pacific Medical Ctr-Davies Campus Hosp
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62677 | CA | MD | Clinical Social Worker |
| G62677 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Hand and Wrist Associates,a Medical Corporation | Surgery of the Hand | Current | Accepting new patients |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Abj Surgery Center, Inc. | Past | Accepting new patients |
Locations
104 Saint Matthews Ave
San Mateo, CA 94401
Phone (650) 344-8700
Interoperability endpoints
- jpertsch46051@hisp.ehr.sutterhealth.org
Organizations & group practices 3
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.
-
- Surgery of the Hand (Plastic Surgery) Physician
- San Mateo, CA
- NPI 1093881682
-
- Ambulatory Surgical Clinic/Center
- San Mateo, CA
- NPI 1295824118
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlingame, CA
- NPI 1043670334
-
- General Acute Care Hospital
- Menlo Park, CA
- NPI 1295199701
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501459200000",
"number": "1952340176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ST.MATTHEWS AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944012807",
"telephone_number": "650-344-8700",
"fax_number": "650-344-8187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 ST.MATTHEWS AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944012807",
"telephone_number": "650-344-8700",
"fax_number": "650-344-8187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERTSCH",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2017-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G62677",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "CA",
"license": "G62677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; 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.