MARK JASON JOEL SAN JOSE
NPI 1043082233
Nurse Practitioner - Acute Care in Orange, CA
About Mark Jason Joel San Jose NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK JASON JOEL SAN JOSE (NPI 1043082233) is an individual acute care provider in Orange, California, licensed in California (95027777) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fontana.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark Jason Joel San Jose is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mark Jason Joel San Jose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 420 clinicians in this Medicare group
Duarte, CA 91010
- Reassigned Medicare billing, California enrollment
- 1,335 clinicians in this Medicare group
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 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORANGE, CA 92868
ORANGE, CA 92868
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 Mark Jason Joel San Jose's NPI number?
The NPI number for Mark Jason Joel San Jose is 1043082233. It was assigned to this individual provider in the NPPES registry on October 23, 2023.
Where is Mark Jason Joel San Jose located?
Mark Jason Joel San Jose practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (800) 465-3203.
What is Mark Jason Joel San Jose's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Mark Jason Joel San Jose enrolled in Medicare?
Yes. Mark Jason Joel San Jose is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mark Jason Joel San Jose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Jason Joel San Jose reassigns Medicare benefits to 2 organizations: Regents Of The University Of (Orange, CA) and City Of Hope Medical Foundation (Duarte, 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 Mark Jason Joel San Jose'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 Mark Jason Joel San Jose was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mark Jason Joel San Jose · NPI 1043082233
Acute Care physician in Orange, California. Individual provider, active in the CMS NPPES registry since October 23, 2023.
## Identity
- **NPI:** 1043082233 (Entity type: Individual)
- **Enumerated:** October 23, 2023
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95027777 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 THE CITY DR S, Orange, CA 92868-3201
- **Phone:** (800) 465-3203
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of (NPI 1487602546, Orange, CA); City Of Hope Medical Foundation (NPI 1871886366, Duarte, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043082233) · Data from the CMS NPPES public registry.