MR. JONAS FORTIN OBISPO NP
NPI 1699350074
Nurse Practitioner in Santa Monica, CA
About Mr. Jonas Fortin Obispo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JONAS FORTIN OBISPO NP (NPI 1699350074) is an individual nurse practitioner in Santa Monica, California, licensed in California (95015686) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Jonas Fortin Obispo Np 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
3Medicare enrollment records show Jonas Obispo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 1,766 clinicians in this Medicare group
Rolling Hills Estates, CA 90274
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Alhambra, CA 91801
- Reassigned Medicare billing, California enrollment
- 50 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
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 Jonas Obispo's NPI number?
The NPI number for Jonas Obispo is 1699350074. It was assigned to this individual provider in the NPPES registry on March 16, 2021.
Where is Jonas Obispo located?
Jonas Obispo practices at 1250 16th St # C2304, Santa Monica, CA 90404. The listed phone number is (310) 319-4698.
What is Jonas Obispo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jonas Obispo enrolled in Medicare?
Yes. Jonas Obispo 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 Jonas Obispo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonas Obispo reassigns Medicare benefits to 3 organizations: The Regents Of The University Of California (Los Angeles, CA), Deen Medical Group Inc (Rolling Hills Estates, CA) and California Wound Healing Medical Group Inc. (Alhambra, 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 Jonas Obispo'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 Jonas Obispo was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Jonas Fortin Obispo, NP · NPI 1699350074
Nurse Practitioner physician in Santa Monica, California. Individual provider, active in the CMS NPPES registry since March 16, 2021.
## Identity
- **NPI:** 1699350074 (Entity type: Individual)
- **Enumerated:** March 16, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95015686 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1250 16TH ST # C2304, Santa Monica, CA 90404-1249
- **Phone:** (310) 319-4698
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Regents Of The University Of California (NPI 1235107566, Los Angeles, CA); Deen Medical Group Inc (NPI 1699165738, Rolling Hills Estates, CA); California Wound Healing Medical Group Inc. (NPI 1235333972, Alhambra, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 2, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1699350074) · Data from the CMS NPPES public registry.