JASON L RODDICK PA-C
NPI 1164509899
Physician Assistant - Surgical in Loma Linda, CA

Active since November 01, 2006PECOS Enrolled
25815 BARTON RD STE 101, LOMA LINDA, CA 92354(909) 796-0224(909) 796-0225 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2020, Jul 10, 2020, Aug 12, 2019 (3 updates tracked since 2019).

About Jason L Roddick Pa-c NPPES

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

JASON L RODDICK PA-C (NPI 1164509899) is an individual surgical provider in Loma Linda, California, licensed in California (PA18638) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164509899
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJASON L RODDICKCredential: PA-C
Location Address25815 BARTON RD STE 101Loma Linda, CA 92354-3894
Mailing Address25815 Barton Rd, Ste 101Loma Linda, CA 92354-3894 · (909) 796-0224 · Fax (909) 796-0225
Fax(909) 796-0225
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 9, 20203 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
NPI 1164509899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA18638
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA18638 (CA)
25815 BARTON RD STE 101, Loma Linda, CA 92354

Other Identifiers 1

OtherAR447ZIndividual Ptan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jason L Roddick Pa-c 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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
329 services206 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
108 services108 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
85 services70 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
76 services64 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
62 services48 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
40 services38 patients

Other Providers at the Same Location NPPES

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

Dermatology
25815 BARTON RD STE 101
LOMA LINDA, CA 92354

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 Jason Roddick's NPI number?

The NPI number for Jason Roddick is 1164509899. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Jason Roddick located?

Jason Roddick practices at 25815 Barton Rd Ste 101, Loma Linda, CA 92354. The listed phone number is (909) 796-0224.

What is Jason Roddick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jason Roddick enrolled in Medicare?

Yes. Jason Roddick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Roddick was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.