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JENNIFER LEE QUACH
NPI 1548008428
Physician Assistant in Manteca, CA

Active since July 16, 2024PECOS Enrolled
165 SAINT DOMINICS DR STE 120, MANTECA, CA 95337(510) 241-2884 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2026, Jul 16, 2024 (2 updates tracked since 2024).

About Jennifer Lee Quach NPPES

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

JENNIFER LEE QUACH (NPI 1548008428) is an individual physician assistant in Manteca, California and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548008428
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER LEE QUACH
Location Address165 SAINT DOMINICS DR STE 120Manteca, CA 95337-7802
Mailing Address165 Saint Dominics Dr Ste 120Manteca, CA 95337-7802
Phone(510) 241-2884
Sole ProprietorYes
Enumeration DateJuly 16, 2024
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1548008428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
165 SAINT DOMINICS DR STE 120, Manteca, CA 95337
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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)

Jennifer Lee Quach 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 95337 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

DIRECT DERMATOLOGY PROFESSIONALS PC
Dermatology
165 SAINT DOMINICS DR STE 120
MANTECA, CA 95337
San Joaquin County (510) 241-2884

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 Jennifer Lee Quach's NPI number?

The NPI number for Jennifer Lee Quach is 1548008428. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Jennifer Lee Quach located?

Jennifer Lee Quach practices at 165 Saint Dominics Dr Ste 120, Manteca, CA 95337. The listed phone number is (510) 241-2884.

What is Jennifer Lee Quach's specialty?

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

Is Jennifer Lee Quach enrolled in Medicare?

Yes. Jennifer Lee Quach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Lee Quach was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.