JAQUES NGAKAM PA
NPI 1194254995
Physician Assistant in Lakeport, CA

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
801 11TH ST, LAKEPORT, CA 95453(707) 263-3746(707) 263-3749 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2023, Aug 1, 2019, Jul 25, 2018 and 1 more (4 updates tracked since 2017).

About Jaques Ngakam Pa NPPES

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

JAQUES NGAKAM PA (NPI 1194254995) is an individual physician assistant in Lakeport, California, licensed in California (54323) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1194254995
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJAQUES NGAKAMCredential: PA
Location Address801 11TH STLakeport, CA 95453-8107
Mailing Address19790 Oak Flat Rd Apt DHidden Valley Lake, CA 95467-8588
Fax(707) 263-3749
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 6, 2017
Last NPPES UpdateFebruary 6, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
NPI 1194254995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 54323
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.
801 11TH ST, Lakeport, CA 95453

Secondary Practice Location 1

Location 11225 Wilshire BlvdLos Angeles, CA 90017-1901 · Phone (213) 977-2121

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

Jaques Ngakam Pa 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 ID9234404229
PECOS Enrollment IDI20170929003250
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
387 services366 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95453 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$45.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers40 claims40 services$110.49 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$36.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Internal Medicine
801 11TH ST
LAKEPORT, CA 95453
Social Worker (Clinical)
801 11TH ST
LAKEPORT, CA 95453
Surgery
801 11TH ST, SUITE 1
LAKEPORT, CA 95453
Family Medicine
801 11TH ST
LAKEPORT, CA 95453
Physician Assistant
801 11TH ST
LAKEPORT, CA 95453
Family Medicine
801 11TH ST
LAKEPORT, CA 95453
Clinic/Center (Rural Health)
801 11TH ST
LAKEPORT, CA 95453
Internal Medicine (Cardiovascular Disease)
801 11TH ST
LAKEPORT, CA 95453

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 Jaques Ngakam's NPI number?

The NPI number for Jaques Ngakam is 1194254995. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Jaques Ngakam located?

Jaques Ngakam practices at 801 11th St, Lakeport, CA 95453. The listed phone number is (707) 263-3746.

What is Jaques Ngakam's specialty?

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

Is Jaques Ngakam enrolled in Medicare?

Yes. Jaques Ngakam 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 Jaques Ngakam was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.