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JACOB SALDIVAR
NPI 1457041154
Physician Assistant in Portland, OR

Active since May 08, 2023PECOS EnrolledAccepts Medicare Assignment
5308 N LOMBARD ST, PORTLAND, OR 97203(888) 227-3312(971) 282-0085 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, May 8, 2023 (2 updates tracked since 2023).

About Jacob Saldivar NPPES

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

JACOB SALDIVAR (NPI 1457041154) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA223193) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Providence Newberg Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457041154
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB SALDIVAR
Location Address5308 N LOMBARD STPortland, OR 97203-4218
Mailing AddressPo Box 2908Portland, OR 97208-2908 · (425) 207-5155
Phone(888) 227-3312
Fax(971) 282-0085
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 8, 2023
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1457041154 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 OR · PA223193
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.
5308 N LOMBARD ST, Portland, OR 97203
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16110 SW Sheridan StPortland, OR 97225-8104 · Phone (971) 645-1753
Location 21800 Novell PlProvo, UT 84606-6101 · Phone (801) 375-5125

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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

Jacob Saldivar 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 ID4981131851
PECOS Enrollment IDI20241217003435
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97203 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 3

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

THOMAS ROBERT STASSEN PA-C
Physician Assistant
5308 N LOMBARD ST
PORTLAND, OR 97203
Multnomah County (888) 227-3312
MS. TANYA LYNN WAYNE PA-C
Physician Assistant
5308 N LOMBARD ST
PORTLAND, OR 97203
Multnomah County (888) 227-3312
MADELENE PENA
Physician Assistant
5308 N LOMBARD ST
PORTLAND, OR 97203
Multnomah County (888) 227-5155

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 Jacob Saldivar's NPI number?

The NPI number for Jacob Saldivar is 1457041154. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Jacob Saldivar located?

Jacob Saldivar practices at 5308 N Lombard St, Portland, OR 97203. The listed phone number is (888) 227-3312.

What is Jacob Saldivar's specialty?

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

Is Jacob Saldivar enrolled in Medicare?

Yes. Jacob Saldivar 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.

What insurance does Jacob Saldivar accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jacob Saldivar 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.

Is Jacob Saldivar affiliated with any hospitals?

According to CMS data, Jacob Saldivar is affiliated with Providence Newberg Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Saldivar was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.