Individual provider Active NPI

Sunita B Jayakar, MD

  • Physical Medicine & Rehabilitation Physician
  • Mt View, CA
National Provider Identifier
1982708608
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A40500 Issued in CA
Practice address
525 South Dr
#215
Mt View, CA 94040
Phone
(650) 967-7471
Fax
(650) 967-8027
NPI assigned
Sep 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A40500 CA Primary

Addresses

Primary practice location

525 South Dr
#215
Mt View, CA 94040

Mailing address

525 South Dr
#215
Mt View, CA 94040
Phone (650) 967-7471

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
I20120717000360 CA Practitioner - Physical Medicine and Rehabilitation 1052577236 Practice locations: Redwood City, CA; Mountain View, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

801 Brewster Ave
Suite 150
Redwood City, CA 94063-1561
Phone (650) 967-7471

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40500CAMDOral and Maxillofacial Pathology Dentist
A40500CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jayakar Medical Group Inc Physical Medicine & Rehabilitation Current Accepting new patients

Locations

525 South Dr
Ste 215
Mountain View, CA 94040
Phone (408) 400-7140

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982708608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SOUTH DR",
            "address_2": "#215",
            "city": "MT VIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "650-967-7471",
            "fax_number": "650-967-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SOUTH DR",
            "address_2": "#215",
            "city": "MT VIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "650-967-7471",
            "fax_number": "650-967-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAKAR",
        "first_name": "SUNITA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A40500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt View, CA

Sources for this page

Verify at the official NPI Registry.