JAKE LOITZ
NPI 1588291306
Student in an Organized Health Care Education/Training Program in Vallejo, CA
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 and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jake Loitz 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.
Medicare Billing Reassignment
Medicare enrollment records show Jake Loitz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orinda, CA 94563
- Reassigned Medicare billing, California enrollment
- 4,479 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.
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.
VALLEJO, CA 94589
VALLEJO, CA 94589
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jake Loitz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jake Loitz reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, 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 Jake Loitz'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 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.
# Jake Loitz · NPI 1588291306
Student in an Organized Health Care Education/Training Program provider in Vallejo, California. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1588291306 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 975 SERENO DRIVE, FAMILY MEDICINE DEPARTMENT, Vallejo, CA 94589-2441
- **Phone:** (707) 651-4071
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Sutter Bay Medical Foundation (NPI 1366898538, Orinda, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 23, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1588291306) · Data from the CMS NPPES public registry.