DR. JAIME RAUL ANTUNA M.D.
NPI 1417259649
Student in an Organized Health Care Education/Training Program in Fresno, CA
About Dr. Jaime Raul Antuna M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAIME RAUL ANTUNA M.D. (NPI 1417259649) is an individual student in an organized health care education/training program in Fresno, California and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jaime Raul Antuna M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaime Antuna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRESNO, CA 93701
FRESNO, CA 93701
FRESNO, CA 93701
FRESNO, CA 93701
FRESNO, CA 93701
FRESNO, CA 93701
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 Jaime Antuna's NPI number?
The NPI number for Jaime Antuna is 1417259649. It was assigned to this individual provider in the NPPES registry on November 19, 2010.
Where is Jaime Antuna located?
Jaime Antuna practices at 155 N Fresno St, Fresno, CA 93701. The listed phone number is (559) 499-6440.
What is Jaime Antuna's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jaime Antuna enrolled in Medicare?
Yes. Jaime Antuna is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaime Antuna's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaime Antuna reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Jaime Antuna'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 Jaime Antuna was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jaime Raul Antuna, M.D. · NPI 1417259649
Student in an Organized Health Care Education/Training Program provider in Fresno, California. Individual provider, active in the CMS NPPES registry since November 19, 2010.
## Identity
- **NPI:** 1417259649 (Entity type: Individual)
- **Enumerated:** November 19, 2010
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 155 N FRESNO ST, Fresno, CA 93701-2302
- **Phone:** (559) 499-6440
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417259649) · Data from the CMS NPPES public registry.