MS. JACKELINE BEATRIZ LOPEZ PA-C, RDN - NPI 1295246692 - Physician Assistant in Fontana, CA

Q: What is Jackeline Lopez's NPI number?

The NPI number for Jackeline Lopez is 1295246692. It was assigned to this individual provider in the NPPES registry on October 12, 2017.

Q: What is Jackeline Lopez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jackeline Lopez was last updated on August 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Jackeline Beatriz Lopez Pa-c, Rdn NPPES

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

MS. JACKELINE BEATRIZ LOPEZ PA-C, RDN (NPI 1295246692) is an individual physician assistant in Fontana, California, licensed in California (62965) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295246692

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. JACKELINE BEATRIZ LOPEZCredential: PA-C, RDN

Location Address16465 SIERRA LAKES PKWY STE 300Fontana, CA 92336-1242

Mailing Address16465 Sierra Lakes Pkwy Ste 300Fontana, CA 92336-1242 · (909) 429-2864

Phone(909) 429-2864

Sole ProprietorNo

Enumeration DateOctober 12, 2017

Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration

NPPES CertifiedAugust 1, 2023

✔ NPI 1295246692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 62965

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.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 86026975 (CA)

Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X · License 86026975 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

16465 SIERRA LAKES PKWY STE 300, Fontana, CA 92336

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jackeline Beatriz Lopez Pa-c, Rdn 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 92336 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.