JELYCA ORMOND
NPI 1396325916
Internal Medicine in San Jose, CA

Q: What is Jelyca Ormond's NPI number?

The NPI number for Jelyca Ormond is 1396325916. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Q: What is Jelyca Ormond's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jelyca Ormond was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment

1721 TECHNOLOGY DR, SAN JOSE, CA 95110(408) 436-3300 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, Apr 8, 2021 (2 updates tracked since 2021).

On this page

About Jelyca Ormond NPPES

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

JELYCA ORMOND (NPI 1396325916) is an individual internal medicine provider in San Jose, California, licensed in California (184405) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Clara, and is a graduate of George Washington University School Of Medicine (2021).

NPPES Registry Identity

NPI1396325916

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameJELYCA ORMOND

Location Address1721 TECHNOLOGY DRSan Jose, CA 95110-1305

Mailing Address1721 Technology DrSan Jose, CA 95110-1305

Phone(408) 436-3300

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2021

Enumeration DateApril 8, 2021

Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration

NPPES CertifiedJuly 15, 2024

✔ NPI 1396325916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 184405

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1721 TECHNOLOGY DR, San Jose, CA 95110

Open in Google Maps ↗

Secondary Practice Location 1

Location 1710 Lawrence ExpySanta Clara, CA 95051-5173 · Phone (408) 851-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jelyca Ormond is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264813195

PECOS Enrollment IDI20241120002309

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.

Medicare Billing Reassignment

Medicare enrollment records show Jelyca Ormond reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

4.8 mi

Internal Medicine

710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95110 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

$156.67 typical visit price

range $70.37 – $206.04

Typical copayment $39.16 (range $17.59 – $51.51)

Most-billed visit code 99204

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISABELLA N JAJEH

Physical Therapist