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JAY RATILAL M.D.
NPI 1487698585
Pediatrics in Lodi, CA

Active since June 16, 2006PECOS Enrolled
2415 W VINE ST, SUITE 100, LODI, CA 95242(209) 333-3135(209) 333-3132 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jay Ratilal M.d. NPPES

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

JAY RATILAL M.D. (NPI 1487698585) is an individual pediatrics provider in Lodi, California, licensed in California (A66236) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487698585
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAY RATILALCredential: M.D.
Location Address2415 W VINE ST, SUITE 100Lodi, CA 95242-3731
Mailing Address2415 W Vine St, Suite 100Lodi, CA 95242-3731 · (209) 333-3135 · Fax (209) 333-3132
Phone(209) 333-3135
Fax(209) 333-3132
Sole ProprietorYes
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487698585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A66236
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2415 W VINE ST, Lodi, CA 95242
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Other Identifiers 1

Medicare UPING79867CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay Ratilal 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 Reassignment

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

Golden Valley Health Center
21 mi
Federally Qualified Health Center (FQHC)
302 NORTHGATE DR
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1477020121 (209) 239-5299

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 95242 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 8

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

LODI MEMORIAL HOSPITAL ASSOCIATION INC
Pharmacy (Community/Retail Pharmacy)
2415 W VINE ST, 104B
LODI, CA 95242
San Joaquin County (209) 333-3009
HARVEY HASHIMOTO MD
Family Medicine
2415 W VINE ST, SUITE 105
LODI, CA 95242
San Joaquin County (209) 339-7435
KIRSTEN M CULLER MD
Pediatrics
2415 W VINE ST, SUITE 100
LODI, CA 95242
San Joaquin County (209) 333-3135
LODI MEMORIAL HOSPITAL ASSOCIATION INC
Clinic/Center
2415 W VINE ST, SUITE 103
LODI, CA 95242
San Joaquin County (209) 333-3030
DAISY BRISENO FNP
Registered Nurse
2415 W VINE ST, SUITE 106
LODI, CA 95242
San Joaquin County (209) 333-3066
MS. SANDRA BECK-ATWATER RPH
Pharmacist
2415 W VINE ST, SUITE 104B
LODI, CA 95242
San Joaquin County (209) 333-3009
LODI HEALTH
Pharmacy Technician
2415 W VINE ST
LODI, CA 95242
San Joaquin County (209) 333-3009
REGINA FUNG GUEN WONG M.D.
Pediatrics
2415 W VINE ST, SUITE 105
LODI, CA 95242
San Joaquin County (209) 333-3135

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 Jay Ratilal's NPI number?

The NPI number for Jay Ratilal is 1487698585. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Jay Ratilal located?

Jay Ratilal practices at 2415 W Vine St Suite 100, Lodi, CA 95242. The listed phone number is (209) 333-3135.

What is Jay Ratilal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jay Ratilal enrolled in Medicare?

Yes. Jay Ratilal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jay Ratilal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Ratilal reassigns Medicare benefits to Golden Valley Health Center (Manteca, CA). The 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 Jay Ratilal'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 Jay Ratilal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.