Individual provider Active NPI

Jumana Mary Bisharat-Kernizan, M.D.

  • Diagnostic Radiology Physician
  • Roseville, CA
National Provider Identifier
1962933929
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A187232 Issued in CA
Practice address
1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941
Phone
(916) 535-2030
Fax
(916) 536-3061
NPI assigned
Mar 22, 2017
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A187232 CA Primary

Addresses

Primary practice location

1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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
I20230809001132 CA Practitioner - Interventional Radiology 1759625213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1380 Lead Hill Blvd
Suite 100
Roseville, CA 95661-2997
Phone (916) 535-2030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A187232CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Aug 22, 2023 Accepting new patients
Dignity Health Medical Foundation CurrentSince Aug 22, 2023 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

6305 Coyle Ave
Carmichael, CA 95608
Phone (916) 961-6920

6511 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5470

7115 Greenback Ln
Citrus Heights, CA 95621
Phone (916) 536-3540

2330 W Covell Blvd
Davis, CA 95616
Phone (530) 668-2600

8220 Wymark Dr
Ste 101
Elk Grove, CA 95757
Phone (916) 667-0750

1050 Iron Point Rd
Folsom, CA 95630
Phone (916) 365-8484

1625 Creekside Dr
Ste 101
Folsom, CA 95630
Phone (916) 984-1866

2020 Court St
Redding, CA 96001
Phone (530) 243-1236

2380 Bechelli Ln
Redding, CA 96002
Phone (530) 226-1800

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

1380 Lead Hill Blvd
#100
Roseville, CA 95661

1380 Lead Hill Blvd
Ste 100
Roseville, CA 95661
Phone (916) 535-2030

2110 Professional Dr
Ste 190
Roseville, CA 95661
Phone (916) 787-0404

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

3000 Q St
Fl 6
Sacramento, CA 95816
Phone (916) 560-0319

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

2081 Bronze Star Dr
Woodland, CA 95776
Phone (530) 668-2600

632 W Gibson Rd
Woodland, CA 95695
Phone (530) 666-1631

Organizations & group practices 5

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 5

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1962933929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LEAD HILL BLVD STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612941",
            "telephone_number": "916-535-2030",
            "fax_number": "916-536-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHARAT-KERNIZAN",
        "first_name": "JUMANA",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A187232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.