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JYOTSANA P. RAYGOR MD
NPI 1669544326
Pediatrics in Pittsburg, CA

Active since November 15, 2006PECOS Enrolled
2240 GLADSTONE DR, PITTSBURG, CA 94565(925) 431-2100(925) 431-1234 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jyotsana P. Raygor Md NPPES

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

JYOTSANA P. RAYGOR MD (NPI 1669544326) is an individual pediatrics provider in Pittsburg, California, licensed in California (A41862) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669544326
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJYOTSANA P. RAYGORCredential: MD
Location Address2240 GLADSTONE DRPittsburg, CA 94565-5126
Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4189
Phone(925) 431-2100
Fax(925) 431-1234
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1669544326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A41862
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.
2240 GLADSTONE DR, Pittsburg, CA 94565
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Other Names 1

Professional Name (2)Shana P. Raygor M.d.

Other Identifiers 1

Medicaid00A418620CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jyotsana P. Raygor Md 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 Jyotsana Raygor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
22 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

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 94565 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 9

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

PROF. SHARON ANNE GOLDFARB FNP-C
Nurse Practitioner (Family)
2240 GLADSTONE DR, #4
PITTSBURG, CA 94565
Contra Costa County (925) 431-2100
MARIBEL ESPERANZA REYES NP
Nurse Practitioner
2240 GLADSTONE DR, SUITE #4
PITTSBURG, CA 94565
Contra Costa County (925) 431-2100
DR. ALAN SHOU-REN WEI M.D
Specialist
2240 GLADSTONE DR, SUITE #1
PITTSBURG, CA 94565
Contra Costa County (925) 439-1077
ELIZABETH LEYNES-LE MD
Pediatrics
2240 GLADSTONE DR, SUITE 4
PITTSBURG, CA 94565
Contra Costa County (925) 431-2100
NYDIA GUADALUPE YATACO MSW
Social Worker (Clinical)
2240 GLADSTONE DR
PITTSBURG, CA 94565
Contra Costa County (925) 431-2100
AMYRA KATRINA SORIANO BSN, RN
Nurse Practitioner
2240 GLADSTONE DR
PITTSBURG, CA 94565
Contra Costa County (925) 431-2100
ANALIA LOPEZ LCSW
Social Worker
2240 GLADSTONE DR, SUITE 2
PITTSBURG, CA 94565
Contra Costa County (925) 431-2100
JUAN F O MEANY PA
Physician Assistant
2240 GLADSTONE DR, STE #4
PITTSBURG, CA 94565
Contra Costa County (925) 431-1230

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 Jyotsana Raygor's NPI number?

The NPI number for Jyotsana Raygor is 1669544326. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Shana P. Raygor M.D..

Where is Jyotsana Raygor located?

Jyotsana Raygor practices at 2240 Gladstone Dr, Pittsburg, CA 94565. The listed phone number is (925) 431-2100.

What is Jyotsana Raygor's specialty?

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

Is Jyotsana Raygor enrolled in Medicare?

Yes. Jyotsana Raygor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jyotsana Raygor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jyotsana Raygor reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Jyotsana Raygor'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 Jyotsana Raygor was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.