JASON LOPEZ PA
NPI 1497245138
Physician Assistant - Surgical in Fullerton, CA

Q: What is Jason Lopez's NPI number?

The NPI number for Jason Lopez is 1497245138. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Q: What is Jason Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jason Lopez was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 17, 2018PECOS EnrolledAccepts Medicare Assignment

100 E VALENCIA MESA DR STE 310, FULLERTON, CA 92835(714) 734-3120 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2021, Oct 9, 2020, Nov 7, 2019 and 2 more (5 updates tracked since 2018).

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About Jason Lopez Pa NPPES

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

JASON LOPEZ PA (NPI 1497245138) is an individual surgical provider in Fullerton, California, licensed in California (55964) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1497245138

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJASON LOPEZCredential: PA

Location Address100 E VALENCIA MESA DR STE 310Fullerton, CA 92835-3800

Mailing Address100 E Valencia Mesa Dr Ste 310Fullerton, CA 92835-3800 · (714) 734-3120

Phone(714) 734-3120

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 17, 2018

Last NPPES UpdateJuly 13, 20215 updates tracked since enumeration

NPPES CertifiedJuly 13, 2021

✔ NPI 1497245138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · 55964

Also ListedPhysician AssistantTaxonomy 363A00000X · License 55964 (CA)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 55964 (CA)

100 E VALENCIA MESA DR STE 310, Fullerton, CA 92835

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Secondary Practice Location 1

Location 12823 Fresno StFresno, CA 93721-1324 · Phone (559) 459-3705 · Fax (559) 459-3720

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

Jason Lopez Pa 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 ID9638415011

PECOS Enrollment IDI20190104002571

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services24 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

21 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

14 services13 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

11 services11 patients

Other Providers at the Same Location NPPES 11

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

QUANTIN THIEN PHAM PA

Physician Assistant (Surgical)