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MR. JONATHAN DELOSSANTOS P.A.
NPI 1780080549
Physician Assistant in Mesa, AZ

Active since November 06, 2014PECOS EnrolledAccepts Medicare Assignment
2152 S VINEYARD STE 131, MESA, AZ 85210(480) 788-8539(844) 538-9355 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jonathan Delossantos P.a. NPPES

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

MR. JONATHAN DELOSSANTOS P.A. (NPI 1780080549) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (5881) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1780080549
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JONATHAN DELOSSANTOSCredential: P.A.
Location Address2152 S VINEYARD STE 131Mesa, AZ 85210
Mailing Address2152 S Vineyard Ste 131Mesa, AZ 85210-6882 · (480) 788-8539 · Fax (844) 538-9355
Phone(480) 788-8539
Fax(844) 538-9355
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 6, 2014
Last NPPES UpdateJune 25, 2019
✔ NPI 1780080549 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 AZ · 5881
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.
2152 S VINEYARD STE 131, Mesa, AZ 85210
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Secondary Practice Locations 2

Location 17425 E Shea Blvd, Suite 100Scottsdale, AZ 85260-6411 · Phone (480) 285-2180
Location 27261 S Broadway Ste 10LLittleton, CO 80122-8017 · Phone (855) 538-9355 ext. 410 · Fax (844) 538-9355

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jonathan Delossantos P.a. 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.

PECOS PAC ID7315249679
PECOS Enrollment IDI20160105000529
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 85210 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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

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

KEVIN NICHOLSON
Registered Nurse
2152 S VINEYARD STE 131
MESA, AZ 85210
Maricopa County (855) 538-9355

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 Jonathan Delossantos's NPI number?

The NPI number for Jonathan Delossantos is 1780080549. It was assigned to this individual provider in the NPPES registry on November 6, 2014.

Where is Jonathan Delossantos located?

Jonathan Delossantos practices at 2152 S Vineyard Ste 131, Mesa, AZ 85210. The listed phone number is (480) 788-8539.

What is Jonathan Delossantos's specialty?

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

Is Jonathan Delossantos enrolled in Medicare?

Yes. Jonathan Delossantos 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.

When was this NPI record last updated?

The NPPES record for Jonathan Delossantos was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.