XAVIER OCTAVIO JURADO
NPI 1164618997
Psychologist - Clinical in Oakland, CA

Q: What is Xavier Jurado's NPI number?

The NPI number for Xavier Jurado is 1164618997. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Q: What is Xavier Jurado's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Xavier Jurado was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 14, 2007PECOS Enrolled

2579 SAN PABLO AVE, OAKLAND, CA 94612(510) 446-7100 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 6, 2017 (2 updates tracked since 2017).

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About Xavier Octavio Jurado NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

XAVIER OCTAVIO JURADO (NPI 1164618997) is an individual clinical provider in Oakland, California, licensed in California (PSY29160) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164618997

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameXAVIER OCTAVIO JURADO

Location Address2579 SAN PABLO AVEOakland, CA 94612-1159

Mailing Address2579 San Pablo AveOakland, CA 94612 · (510) 446-7100

Phone(510) 446-7100

Sole ProprietorNo

Enumeration DateSeptember 14, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1164618997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY29160

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2579 SAN PABLO AVE, Oakland, CA 94612

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Xavier Octavio Jurado is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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