Active NPI
Priyanga Jayakumar, M.B.B.S
- Family Medicine Physician
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A166928
- Practice address
- 305 E Center Ave
Visalia, CA 93291-6331 - Phone
- (559) 737-4700
- NPI assigned
- Apr 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | J15674970 | KY | |
| Family Medicine Physician | 207Q00000X | A166928 | CA | Primary |
Addresses
Primary practice location
305 E Center Ave
Visalia, CA 93291-6331
Mailing address
11651 N Bella Verde Ave
Fresno, CA 93730-7037
Phone (313) 392-3644
Other practice location 1
1800 S A W Grimes Blvd
Baylor Scott & White Round Rock South Clinic
Round Rock, TX 78664-7424
Phone (512) 244-5729
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
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16899 W Bernardo Dr
San Diego, CA 92127-1603
Phone (858) 499-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A166928 | CA | MD | Family Medicine Physician |
| J15674970 | KY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients |
Locations
290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101
16899 W Bernardo Dr
San Diego, CA 92127
Phone (858) 499-2705
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Woodlake, CA
- NPI 1164517744
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1609384940
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1972036879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11651 N BELLA VERDE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937307037",
"telephone_number": "313-392-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 E CENTER AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916331",
"telephone_number": "559-737-4700"
}
],
"practiceLocations": [
{
"address_1": "1800 S A W Grimes Blvd",
"address_2": "Baylor Scott & White Round Rock South Clinic",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786647424",
"country_code": "US",
"telephone_number": "512-244-5729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAYAKUMAR",
"first_name": "PRIYANGA",
"name_prefix": "Dr.",
"credential": "M.B.B.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": "J15674970",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A166928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.