JACQUELINE LIZARRAGA OT
NPI 1619469558
Occupational Therapist - Hand in San Ramon, CA
About Jacqueline Lizarraga Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE LIZARRAGA OT (NPI 1619469558) is an individual hand provider in San Ramon, California, licensed in California (25175) and active in the NPI registry since June 2018. She 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
Jacqueline Lizarraga Ot 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 Reassignments
2Medicare enrollment records show Jacqueline Lizarraga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Ramon, CA 94583
- Reassigned Medicare billing, California enrollment
- 211 clinicians in this Medicare group
Redwood City, CA 94063
- Reassigned Medicare billing, California enrollment
- 20,078 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN RAMON, CA 94583
SAN RAMON, CA 94583
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 Jacqueline Lizarraga's NPI number?
The NPI number for Jacqueline Lizarraga is 1619469558. It was assigned to this individual provider in the NPPES registry on June 6, 2018.
Where is Jacqueline Lizarraga located?
Jacqueline Lizarraga practices at 5201 Norris Canyon Rd Ste 300, San Ramon, CA 94583. The listed phone number is (925) 939-8585.
What is Jacqueline Lizarraga's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.
Is Jacqueline Lizarraga enrolled in Medicare?
Yes. Jacqueline Lizarraga 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 organizations bill Medicare for Jacqueline Lizarraga's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Lizarraga reassigns Medicare benefits to 2 organizations: Golden State Orthopedics & Spine (San Ramon, CA) and Permanente Medical Group Inc (Redwood City, CA). Each 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 Jacqueline Lizarraga'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 Jacqueline Lizarraga was last updated on August 10, 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.
# Jacqueline Lizarraga, OT · NPI 1619469558
Hand provider in San Ramon, California. Individual provider, active in the CMS NPPES registry since June 6, 2018.
## Identity
- **NPI:** 1619469558 (Entity type: Individual)
- **Enumerated:** June 6, 2018
- **Primary specialty:** Occupational Therapist - Hand · taxonomy 225XH1200X
- **State license:** 25175 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5201 NORRIS CANYON RD STE 300, San Ramon, CA 94583-5405
- **Phone:** (925) 939-8585 · **Fax:** (925) 933-2709
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Golden State Orthopedics & Spine (NPI 1952656050, San Ramon, CA); Permanente Medical Group Inc (NPI 1639252604, Redwood City, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619469558) · Data from the CMS NPPES public registry.