JACK MARCELINO LOMBA PT NPI 1013091453
Physical Therapist in Elk Grove, CA

About JACK MARCELINO LOMBA PT

Jack Lomba is a provider established in Elk Grove, California and his medical specialization is Physical Therapist with more than 39 years of experience. The NPI number of Jack Lomba is 1013091453 and was assigned on October 2006. The practitioner's primary taxonomy code is 225100000X with license number 12561 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1013091453
Provider Name JACK MARCELINO LOMBA PT
Location Address7805 LAGUNE BLVD 300 ELK GROVE, CA 95758
Location Phone(916) 691-5400
Mailing Address306 ARROYO MADRONE CT LINCOLN, CA 95648
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1984
Is Sole Proprietor?No
Enumeration Date10-24-2006
Last Update Date07-08-2007

Jack Lomba is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.56 for a new patient copayment and $19.22 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.12561
License StateCA
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

JACK MARCELINO LOMBA PT
7805 LAGUNE BLVD
300
ELK GROVE, CA
ZIP 95758
Phone: (916) 691-5400

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Mailing Address

JACK MARCELINO LOMBA PT
306 ARROYO MADRONE CT
LINCOLN, CA
ZIP 95648
Phone: (916) 543-8506
Fax: (916) 543-8506


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

PECOS PAC ID7012900509
PECOS Enrollment IDI20040408000718
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 95758 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$61.52 $185.29 $94.24
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.38 $46.32 $23.56
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$19.52 $151.94 $76.91
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.88 $37.98 $19.22

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013091453
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023092410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 2 + 4 + 1 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1013091453 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

What is Jack Lomba PT NPI number?

The NPI number assigned to Jack Lomba PT is 1013091453, registered as an "individual" on October 24, 2006

Where is Jack Lomba PT located?

The provider is located at 7805 Lagune Blvd 300 Elk Grove, Ca 95758 and the phone number is (916) 691-5400

Which is Jack Lomba PT specialty?

The provider's speciality is Physical Therapist

How many years of experience does Jack Lomba PT have?

The provider has more than 39 years of experience.

How much is a visit to Jack Lomba PT?

Medicare beneficiaries should expect a typical cost of $94.24 with an average copayment of $23.56 for new patient appointments. Established patients should expect a typical charge of $76.91 and an average copayment of 19.22. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Jack Lomba PT was last updated on October 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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