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NIKOLAY NIKOLAYEVICH LOBODA PA
NPI 1316252356
Physician Assistant in San Jacinto, CA

Active since August 14, 2010PECOS Enrolled
1692 S SANTA FE AVE, #F-52, SAN JACINTO, CA 92583(951) 654-6596 Get Directions Write a Review

NPPES record last updated: August 14, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nikolay Nikolayevich Loboda Pa NPPES

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

NIKOLAY NIKOLAYEVICH LOBODA PA (NPI 1316252356) is an individual physician assistant in San Jacinto, California, licensed in California (PA21040) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316252356
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNIKOLAY NIKOLAYEVICH LOBODACredential: PA
Location Address1692 S SANTA FE AVE, #F-52San Jacinto, CA 92583-5067
Mailing Address1692 S Santa Fe Ave, #f-52San Jacinto, CA 92583-5067 · (951) 654-6596
Phone(951) 654-6596
Sole ProprietorYes
Enumeration DateAugust 14, 2010
✔ NPI 1316252356 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 · PA21040
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.
1692 S SANTA FE AVE, San Jacinto, CA 92583
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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)

Nikolay Nikolayevich Loboda Pa 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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
92 services89 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
31 services28 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92583 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.

COVENANT HEALTHCARE, LLC
In Home Supportive Care
1692 S SANTA FE AVE, 62
SAN JACINTO, CA 92583
Riverside County (951) 330-6236

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 Nikolay Loboda's NPI number?

The NPI number for Nikolay Loboda is 1316252356. It was assigned to this individual provider in the NPPES registry on August 14, 2010.

Where is Nikolay Loboda located?

Nikolay Loboda practices at 1692 S Santa Fe Ave #f-52, San Jacinto, CA 92583. The listed phone number is (951) 654-6596.

What is Nikolay Loboda's specialty?

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

Is Nikolay Loboda enrolled in Medicare?

Yes. Nikolay Loboda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nikolay Loboda was last updated on August 14, 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.