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JERRY LANE LEWIS PA
NPI 1801879341
Physician Assistant - Medical in Planada, CA

Active since November 29, 2005
9235 E BROADWAY ST, PLANADA, CA 95365(209) 382-0253(209) 382-2110 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Lane Lewis Pa NPPES

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

JERRY LANE LEWIS PA (NPI 1801879341) is an individual medical provider in Planada, California, licensed in California (PA11479) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1801879341
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJERRY LANE LEWISCredential: PA
Location Address9235 E BROADWAY STPlanada, CA 95365-8088
Mailing Address737 W Childs AveMerced, CA 95340-6805 · (209) 383-1848 · Fax (209) 383-1296
Phone(209) 382-0253
Fax(209) 382-2110
Sole ProprietorNo
Enumeration DateNovember 29, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1801879341 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 CA · PA11479
9235 E BROADWAY ST, Planada, CA 95365
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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.

DR. JELIN YEN TRUONG MD
Family Medicine
9235 E BROADWAY ST
PLANADA, CA 95365
Merced County (209) 382-0253
GOLDEN VALLEY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
9235 E BROADWAY ST
PLANADA, CA 95365
Merced County (209) 382-0253
EVA LOMELI LCSW
Social Worker (Clinical)
9235 E BROADWAY ST
PLANADA, CA 95365
Merced County (209) 382-0253
DR. RAMAA MARUTHACHALAM MD
Family Medicine
9235 E BROADWAY ST
PLANADA, CA 95365
Merced County (866) 682-4842
DR. JOHN EDWARD WANZO D.D.S.
Dentist
9235 E BROADWAY ST
PLANADA, CA 95365
Merced County (209) 382-1697
SHIRLEY ANN PERIDO PASIA NP
Nurse Practitioner (Family)
9235 E BROADWAY ST
PLANADA, CA 95365
Merced County (209) 382-0253
MAXINE MARY FOTADAR D.D.S.
Dentist (General Practice)
9235 E BROADWAY ST
PLANADA, CA 95365
Merced County (209) 382-0253

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 Jerry Lewis's NPI number?

The NPI number for Jerry Lewis is 1801879341. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Jerry Lewis located?

Jerry Lewis practices at 9235 E Broadway St, Planada, CA 95365. The listed phone number is (209) 382-0253.

What is Jerry Lewis's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerry Lewis was last updated on March 7, 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.