JOE LUIS PANTOJA MD
NPI 1174985121
Surgery - Vascular Surgery in Moreno Valley, CA
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
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 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.
Medicare Billing Reassignment
Medicare enrollment records show Joe Pantoja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 5,228 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 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Joe Pantoja's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joe Pantoja reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, CA). The 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 Joe Pantoja'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 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 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.
# Joe Luis Pantoja, MD · NPI 1174985121
Vascular Surgery physician in Moreno Valley, California. Individual provider, active in the CMS NPPES registry since March 28, 2016.
## Identity
- **NPI:** 1174985121 (Entity type: Individual)
- **Enumerated:** March 28, 2016
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** A152945 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 27200 IRIS AVE # MOB2, Moreno Valley, CA 92555-4803
- **Phone:** (951) 897-5671
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1316979834, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** September 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174985121) · Data from the CMS NPPES public registry.