LIBERTY LOMELI PA-C
NPI 1003860453
Physician Assistant in Porterville, CA

Q: What is Liberty Lomeli's NPI number?

The NPI number for Liberty Lomeli is 1003860453. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Q: What is Liberty Lomeli's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Liberty Lomeli was last updated on November 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment

1107 WEST POPLAR AVE., PORTERVILLE, CA 93257(559) 781-7242(559) 793-3542 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Liberty Lomeli Pa-c NPPES

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

LIBERTY LOMELI PA-C (NPI 1003860453) is an individual physician assistant in Porterville, California, licensed in California (PA15082) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1998).

NPPES Registry Identity

NPI1003860453

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameLIBERTY LOMELICredential: PA-C

Location Address1107 WEST POPLAR AVE.Porterville, CA 93257-5839

Mailing Address305 East Center AvenueVisalia, CA 93291-6331 · (559) 734-4700 · Fax (559) 734-1247

Phone(559) 781-7242

Fax(559) 793-3542

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 1998

Enumeration DateMay 20, 2006

Last NPPES UpdateNovember 1, 2011

✔ NPI 1003860453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA15082

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1107 WEST POPLAR AVE., Porterville, CA 93257

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Liberty Lomeli Pa-c 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 ID4486846342

PECOS Enrollment IDI20101011000406

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93257 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

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$773.90 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims660 services$4.73 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$12.52 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$215.65 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers19 claims19 services$24.73 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

DR. MARIA S. HERNANDEZ MD

Obstetrics & Gynecology