JOE LUIS PANTOJA MD
NPI 1174985121
Surgery - Vascular Surgery in Moreno Valley, CA

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
27200 IRIS AVE # MOB2, MORENO VALLEY, CA 92555(951) 897-5671 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, Sep 29, 2022, Mar 28, 2016 (3 updates tracked since 2016).

About Joe Luis Pantoja Md NPPES

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

JOE LUIS PANTOJA MD (NPI 1174985121) is an individual vascular surgery provider in Moreno Valley, California, licensed in California (A152945) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of University Of California, San Francisco School Of Medicine (2016).

NPPES Registry Identity

NPI1174985121
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameJOE LUIS PANTOJACredential: MD
Location Address27200 IRIS AVE # MOB2Moreno Valley, CA 92555-4803
Mailing Address27200 Iris Ave # Mob2Moreno Valley, CA 92555-4803 · (951) 897-5671
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
NPI 1174985121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · A152945
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
27200 IRIS AVE # MOB2, Moreno Valley, CA 92555

Secondary Practice Location 1

Location 110800 Magnolia AveRiverside, CA 92505-3043 · Phone (951) 897-5671

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

Joe Luis Pantoja Md 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 ID3971856485
PECOS Enrollment IDI20190418000370
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 92555 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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

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

Pharmacist
27200 IRIS AVE # MOB2
MORENO VALLEY, CA 92555

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 Joe Pantoja's NPI number?

The NPI number for Joe Pantoja is 1174985121. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Joe Pantoja located?

Joe Pantoja practices at 27200 Iris Ave # Mob2, Moreno Valley, CA 92555. The listed phone number is (951) 897-5671.

What is Joe Pantoja's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Joe Pantoja enrolled in Medicare?

Yes. Joe Pantoja 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 Joe Pantoja was last updated on September 18, 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.