JORDAN RICCOBONI MPA
NPI 1083442123
Physician Assistant in Wilmington, CA

Active since July 22, 2024PECOS EnrolledAccepts Medicare Assignment
1334 N AVALON BLVD, WILMINGTON, CA 90744(310) 835-4009 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 21, 2025, Jul 22, 2024 (2 updates tracked since 2024).

About Jordan Riccoboni Mpa NPPES

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

JORDAN RICCOBONI MPA (NPI 1083442123) is an individual physician assistant in Wilmington, California and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083442123
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN RICCOBONICredential: MPA
Location Address1334 N AVALON BLVDWilmington, CA 90744-2639
Mailing Address17575 Yukon Ave Apt K4Torrance, CA 90504-3445 · (559) 708-3105
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 22, 2024
Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
NPI 1083442123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

1334 N AVALON BLVD, Wilmington, CA 90744

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

Jordan Riccoboni Mpa 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 ID7810423720
PECOS Enrollment IDI20241214000434
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 90744 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Community Health)
1334 N AVALON BLVD
WILMINGTON, CA 90744
Family Medicine
1334 N AVALON BLVD
WILMINGTON, CA 90744
Community Health Worker
1334 N AVALON BLVD
WILMINGTON, CA 90744
Nurse Practitioner (Family)
1334 N AVALON BLVD
WILMINGTON, CA 90744

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 Jordan Riccoboni's NPI number?

The NPI number for Jordan Riccoboni is 1083442123. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Jordan Riccoboni located?

Jordan Riccoboni practices at 1334 N Avalon Blvd, Wilmington, CA 90744. The listed phone number is (310) 835-4009.

What is Jordan Riccoboni's specialty?

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

Is Jordan Riccoboni enrolled in Medicare?

Yes. Jordan Riccoboni 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 was this NPI record last updated?

The NPPES record for Jordan Riccoboni was last updated on March 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.