JAKE LOITZ
NPI 1588291306
Student in an Organized Health Care Education/Training Program in Vallejo, CA

Active since March 23, 2020PECOS Enrolled
975 SERENO DRIVE, FAMILY MEDICINE DEPARTMENT, VALLEJO, CA 94589(707) 651-4071 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2023, Sep 13, 2021, Mar 23, 2020 (3 updates tracked since 2020).

About Jake Loitz NPPES

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

JAKE LOITZ (NPI 1588291306) is an individual student in an organized health care education/training program in Vallejo, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588291306
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAKE LOITZ
Location Address975 SERENO DRIVE, FAMILY MEDICINE DEPARTMENTVallejo, CA 94589-2441
Mailing Address1822 Francisco St Apt 22Berkeley, CA 94703-1352 · (801) 376-8223
Sole ProprietorNo
Enumeration DateMarch 23, 2020
Last NPPES UpdateMarch 23, 20233 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
NPI 1588291306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedAssistant, PodiatricTaxonomy 211D00000X
975 SERENO DRIVE, Vallejo, CA 94589

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jake Loitz 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.

Other Providers at the Same Location NPPES 14

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

Family Medicine
975 SERENO DRIVE, MINOR INJURY CENTER, KAISER MEDICAL CENTER
VALLEJO, CA 94589
Student in an Organized Health Care Education/Training Program
975 SERENO DRIVE, FAMILY MEDICINE DEPARTMENT
VALLEJO, CA 94589
Ophthalmology
975 SERENO DRIVE, KAISER PERMANENTE MEDICAL CENTER
VALLEJO, CA 94589
Family Medicine
975 SERENO DRIVE
VALLEJO, CA 94589
Internal Medicine
975 SERENO DRIVE
VALLEJO, CA 94589
Pharmacist
975 SERENO DRIVE, MOB, MEDICINE 2
VALLEJO, CA 94589
Pharmacist
975 SERENO DRIVE, ; KAISER PHARMACY 1
VALLEJO, CA 94589
Family Medicine
975 SERENO DRIVE, FAMILY MEDICINE DEPARTMENT
VALLEJO, CA 94589

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 Jake Loitz's NPI number?

The NPI number for Jake Loitz is 1588291306. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Jake Loitz located?

Jake Loitz practices at 975 Sereno Drive Family Medicine Department, Vallejo, CA 94589. The listed phone number is (707) 651-4071.

What is Jake Loitz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jake Loitz enrolled in Medicare?

Yes. Jake Loitz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jake Loitz was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.