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MARK JASON JOEL SAN JOSE
NPI 1043082233
Nurse Practitioner - Acute Care in Orange, CA

Active since October 23, 2023PECOS Enrolled
101 THE CITY DR S, ORANGE, CA 92868(800) 465-3203 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2024, Jul 16, 2024, Oct 23, 2023 (3 updates tracked since 2023).

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

NPI1043082233
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMARK JASON JOEL SAN JOSE
Location Address101 THE CITY DR SOrange, CA 92868-3201
Mailing AddressUc Irvine Medical Center, 101 The City Drive SouthOrange, CA 92868-3201 · (800) 465-3203
Phone(800) 465-3203
Sole ProprietorYes
Enumeration DateOctober 23, 2023
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1043082233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95027777
101 THE CITY DR S, Orange, CA 92868
Open in Google Maps ↗

Secondary Practice Location 1

Location 115960 Serenade LnFontana, CA 92336-5076 · Phone (847) 222-3113

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Jason Joel San Jose 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.

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.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

DR. ANKIT BHUPENDRA PATEL D.O.
Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-5113
DR. LAURA CATHERINE SKOCZYLAS MD
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Orange County (714) 456-8224
MICHAEL CHENG DO
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7110
AESTHETIC AND PLASTIC SURGERY INSTITUTE
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-2986
JOSEPH VILLARREAL M.D.
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Orange County (714) 456-5239
DEMI TRAN
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Orange County (171) 456-6693
DR. ISABEL CARLTON CLARK M.D.
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7890
DYLAN LUKATO
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868
Orange County (415) 218-8041

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.

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 22 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.