JOSE C PESQUEDA PA-C - NPI 1710639240 - Physician Assistant in Guadalupe, CA

Q: What is Jose Pesqueda's NPI number?

The NPI number for Jose Pesqueda is 1710639240. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Q: What is Jose Pesqueda's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Pesqueda was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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About Jose C Pesqueda Pa-c NPPES

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

JOSE C PESQUEDA PA-C (NPI 1710639240) is an individual physician assistant in Guadalupe, California, licensed in California (60664) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710639240

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJOSE C PESQUEDACredential: PA-C

Location Address4723 W MAIN ST STE HGuadalupe, CA 93434-1787

Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8030 · Fax (805) 361-8097

Phone(805) 343-5577

Fax(805) 343-5578

Sole ProprietorYes

Enumeration DateJanuary 26, 2022

Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ NPI 1710639240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 60664

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.

4723 W MAIN ST STE H, Guadalupe, CA 93434

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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)

Jose C Pesqueda Pa-c 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 93434 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

$94.71 typical visit price

range $62.01 – $184.40

Typical copayment $23.67 (range $15.50 – $46.10)

Most-billed visit code 99203

Established Patient

$76.76 typical visit price

range $20.60 – $151.20

Typical copayment $19.19 (range $5.15 – $37.80)

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 7

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

REBECCA HELENA BARNETT PA-C

Physician Assistant