DR. JASON CLAY ANTONIO D.D.S.
NPI 1245554153
Dentist in Moreno Valley, CA

Q: What is Jason Antonio's NPI number?

The NPI number for Jason Antonio is 1245554153. It was assigned to this individual provider in the NPPES registry on March 22, 2010.

Q: What is Jason Antonio's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Antonio was last updated on March 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 22, 2010PECOS Enrolled

11875 PIGEON PASS RD, MORENO VALLEY, CA 92557(951) 488-8868 Get Directions Write a Review

NPPES record last updated: March 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jason Clay Antonio D.d.s. NPPES

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

DR. JASON CLAY ANTONIO D.D.S. (NPI 1245554153) is an individual dentist in Moreno Valley, California, licensed in California (59169) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245554153

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JASON CLAY ANTONIOCredential: D.D.S.

Location Address11875 PIGEON PASS RDMoreno Valley, CA 92557-6039

Mailing Address609 Amaranta AvePerris, CA 92571-7803 · (951) 544-5535

Phone(951) 488-8868

Sole ProprietorNo

Enumeration DateMarch 22, 2010

✔ NPI 1245554153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 59169

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

11875 PIGEON PASS RD, Moreno Valley, CA 92557

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason Clay Antonio D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92557 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 2

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

KAREN M. EDWARDS

Private Vehicle

11875 PIGEON PASS RD
MORENO VALLEY, CA 92557

Riverside County (562) 415-3763

COMMUNITY DENTAL OF DR. CHI

Dentist

11875 PIGEON PASS RD, BUITE B9
MORENO VALLEY, CA 92557

Riverside County (951) 488-8688

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 Antonio's NPI number?

The NPI number for Jason Antonio is 1245554153. It was assigned to this individual provider in the NPPES registry on March 22, 2010.

Where is Jason Antonio located?

Jason Antonio practices at 11875 Pigeon Pass Rd, Moreno Valley, CA 92557. The listed phone number is (951) 488-8868.

What is Jason Antonio's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jason Antonio enrolled in Medicare?

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

What insurance does Jason Antonio accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jason Antonio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Antonio was last updated on March 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.