JAIME PEDRAZA P.A.
NPI 1790774297
Physician Assistant - Medical in Chester, PA

Q: What is Jaime Pedraza's NPI number?

The NPI number for Jaime Pedraza is 1790774297. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Q: What is Jaime Pedraza's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jaime Pedraza was last updated on January 15, 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.

Active since October 18, 2005PECOS Enrolled

30 MEDICAL CENTER BLVD BLDG 1, CHESTER, PA 19013(610) 874-6448 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jaime Pedraza P.a. NPPES

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

JAIME PEDRAZA P.A. (NPI 1790774297) is an individual medical provider in Chester, Pennsylvania, licensed in Florida (PA2779) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790774297

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJAIME PEDRAZACredential: P.A.

Location Address30 MEDICAL CENTER BLVD BLDG 1Chester, PA 19013-3955

Mailing Address1 Medical Center BlvdChester, PA 19013-3902 · (610) 619-7360 · Fax (610) 619-7366

Phone(610) 874-6448

Sole ProprietorNo

Enumeration DateOctober 18, 2005

Last NPPES UpdateJanuary 15, 2019

✔ NPI 1790774297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA2779

30 MEDICAL CENTER BLVD BLDG 1, Chester, PA 19013

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Other Identifiers 2

OtherMA-002409-LPA · Pennsylvania Licence

OtherPA2779FL · Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaime Pedraza P.a. 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.

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 Jaime Pedraza's NPI number?

The NPI number for Jaime Pedraza is 1790774297. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Jaime Pedraza located?

Jaime Pedraza practices at 30 Medical Center Blvd Bldg 1, Chester, PA 19013. The listed phone number is (610) 874-6448.

What is Jaime Pedraza's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jaime Pedraza enrolled in Medicare?

Yes. Jaime Pedraza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaime Pedraza was last updated on January 15, 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.