DR. JASON EDWARD JAGODZINSKI M.D.
NPI 1417188061
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Oakland, CA

Q: What is Jason Jagodzinski's NPI number?

The NPI number for Jason Jagodzinski is 1417188061. It was assigned to this individual provider in the NPPES registry on July 30, 2009.

Q: What is Jason Jagodzinski's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for Jason Jagodzinski was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 July 30, 2009PECOS Enrolled

744 52ND ST, OPC 1ST FLOOR, ORTHOPAEDICS CLINIC, OAKLAND, CA 94609(510) 428-3885 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jason Edward Jagodzinski M.d. NPPES

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

DR. JASON EDWARD JAGODZINSKI M.D. (NPI 1417188061) is an individual pediatric orthopaedic surgery provider in Oakland, California, licensed in California (A135948) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417188061

Entity TypeIndividualMale

Primary Taxonomy207XP3100X

Provider Legal NameDR. JASON EDWARD JAGODZINSKICredential: M.D.

Location Address744 52ND ST, OPC 1ST FLOOR, ORTHOPAEDICS CLINICOakland, CA 94609-1810

Mailing Address550 16th St, Ucsf Orthopaedic Surgery, 5th Floor, Box 3212San Francisco, CA 94158-2549 · (415) 514-1519 · Fax (415) 476-5363

Phone(510) 428-3885

Sole ProprietorYes

Enumeration DateJuly 30, 2009

Last NPPES UpdateSeptember 10, 2015

✔ NPI 1417188061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

License✔ Licensed in CA · A135948

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

744 52ND ST, Oakland, CA 94609

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason Edward Jagodzinski M.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Jason Jagodzinski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of California San Francisco

12 mi

Surgery

400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143

Reassigned Medicare billing, California enrollment
5,645 clinicians in this Medicare group

NPI 1346329380 (415) 353-2161

Ucsf Medical Group Business Services

12 mi

Internal Medicine

400 PARNASSUS AVE
San Francisco, CA 94122

Reassigned Medicare billing, California enrollment
5,544 clinicians in this Medicare group

NPI 1477624104 (415) 353-2808

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

Other Providers at the Same Location NPPES 20

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

BETHANY GELERIS CRNP

Nurse Practitioner (Pediatrics)

744 52ND ST
OAKLAND, CA 94609

Alameda County (909) 568-4395

KATHERINE LIAO PA

Physician Assistant

744 52ND ST
OAKLAND, CA 94609

Alameda County (919) 681-3161

RUBI CUEVAS RN

Registered Nurse

744 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3215

MS. ANDREA BREON M.S., CCC-SLP

Speech-Language Pathologist

744 52ND ST, CRANIOFACIAL 5TH FLOOR
OAKLAND, CA 94609

Alameda County (510) 428-3150

ANNE THATCHER-STEPHENS ATC

Specialist/Technologist (Athletic Trainer)

744 52ND ST, UCSF BENIOFF CHILDREN'S HOPSPITAL
OAKLAND, CA 94609

Alameda County (415) 595-2561

GRACE MARIE OSBORN PA

Physician Assistant

744 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3024

EILEEN B FINLEY CCC-SLP

Speech-Language Pathologist

744 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

BRENT RYO HISAKA PT, DPT

Physical Therapist

744 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Jagodzinski's NPI number?

The NPI number for Jason Jagodzinski is 1417188061. It was assigned to this individual provider in the NPPES registry on July 30, 2009.

Where is Jason Jagodzinski located?

Jason Jagodzinski practices at 744 52nd St Opc 1st Floor, Orthopaedics Clinic, Oakland, CA 94609. The listed phone number is (510) 428-3885.

What is Jason Jagodzinski's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Jason Jagodzinski enrolled in Medicare?

Yes. Jason Jagodzinski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jason Jagodzinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Jagodzinski reassigns Medicare benefits to 2 organizations: University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Jagodzinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Jagodzinski was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.