Individual provider Active NPI

James L Pertsch, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • San Mateo, CA
National Provider Identifier
1952340176
Registry record updated Jul 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
G62677 Issued in CA
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

Updated by the provider on Jul 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000646 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 1052377207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand 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 Hospital, Burlingame, CA, CCN 050007
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

Procedures performed for Medicare patients

ProcedureNumber 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

LicenseStateTypeSpecialty
62677CAMDClinical Social Worker
G62677CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Hand and Wrist Associates,a Medical Corporation Surgery of the Hand CurrentSince Aug 23, 2004 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Abj Surgery Center, Inc. PastSince Nov 20, 2000 Accepting new patients

Locations

104 Saint Matthews Ave
San Mateo, CA 94401
Phone (650) 344-8700

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.