CIARAN JACKA DPM
NPI 1891735445
Podiatrist - Foot & Ankle Surgery in San Leandro, CA

Q: What is Ciaran Jacka's NPI number?

The NPI number for Ciaran Jacka is 1891735445. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Ciaran Jacka's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Ciaran Jacka was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 08, 2006PECOS EnrolledAccepts Medicare Assignment

13847 E 14TH ST STE 210, SAN LEANDRO, CA 94578(510) 351-7552(510) 351-6009 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 11, 2022, Mar 30, 2017 (2 updates tracked since 2017).

On this page

About Ciaran Jacka Dpm NPPES

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

CIARAN JACKA DPM (NPI 1891735445) is an individual foot & ankle surgery provider in San Leandro, California, licensed in California (E4622) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1891735445

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameCIARAN JACKACredential: DPM

Location Address13847 E 14TH ST STE 210San Leandro, CA 94578-2626

Mailing Address13847 E 14th St Ste 210San Leandro, CA 94578-2626 · (510) 351-7552 · Fax (510) 351-6009

Phone(510) 351-7552

Fax(510) 351-6009

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJune 8, 2006

Last NPPES UpdateApril 11, 20222 updates tracked since enumeration

NPPES CertifiedApril 11, 2022

✔ NPI 1891735445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in CA · E4622

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License E4622 (CA)

13847 E 14TH ST STE 210, San Leandro, CA 94578

Open in Google Maps ↗

Other Identifiers 1

Medicaid000E46220CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ciaran Jacka Dpm 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 ID5890724710

PECOS Enrollment IDI20050810000756

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 Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20120203000382DME · Physician - PodiatryDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Medicare Billing Reassignments

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

East Bay Foot & Ankle Clinic Inc

Same address

Foot & Ankle Surgery

13847 E 14TH ST STE 210
San Leandro, CA 94578

Reassigned Medicare billing, California enrollment
4 clinicians in this Medicare group

NPI 1194118851 (510) 351-7552

Permanente Medical Group Inc

16 mi

Internal Medicine

1190 VETERANS BLVD
Redwood City, CA 94063

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

NPI 1639252604 (650) 299-2000

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

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

501 services190 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

389 services149 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

229 services92 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

183 services46 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

98 services98 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

97 services34 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

90 services34 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

72 services39 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

66 services44 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

58 services43 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

50 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

44 services38 patients

Application of vein wound compression bandages on lower leg, ankle, and foot 29581

Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.

36 services19 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

34 services29 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

18 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services11 patients

Other Providers at the Same Location NPPES

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

EAST BAY FOOT & ANKLE CLINIC INC

Podiatrist (Foot & Ankle Surgery)

13847 E 14TH ST STE 210
SAN LEANDRO, CA 94578

Alameda County (510) 351-7552

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 Ciaran Jacka's NPI number?

The NPI number for Ciaran Jacka is 1891735445. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Ciaran Jacka located?

Ciaran Jacka practices at 13847 E 14th St Ste 210, San Leandro, CA 94578. The listed phone number is (510) 351-7552.

What is Ciaran Jacka's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Ciaran Jacka enrolled in Medicare?

Yes. Ciaran Jacka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When is Ciaran Jacka's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this provider (California, Physician - Podiatry) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Which organizations bill Medicare for Ciaran Jacka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ciaran Jacka reassigns Medicare benefits to 2 organizations: East Bay Foot & Ankle Clinic Inc (San Leandro, CA) and Permanente Medical Group Inc (Redwood City, 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 Ciaran Jacka'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 Ciaran Jacka was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.