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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JASMINE MIRIAM ESMAILZADEH
NPI 1922830330
Physician Assistant in Lodi, CA

Active since August 14, 2024PECOS EnrolledAccepts Medicare Assignment
999 S FAIRMONT AVE STE 230, LODI, CA 95240(206) 334-0127(209) 334-0127 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2026, Aug 14, 2024 (2 updates tracked since 2024).

About Jasmine Miriam Esmailzadeh NPPES

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

JASMINE MIRIAM ESMAILZADEH (NPI 1922830330) is an individual physician assistant in Lodi, California, licensed in California (PA65500) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1922830330
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJASMINE MIRIAM ESMAILZADEH
Location Address999 S FAIRMONT AVE STE 230Lodi, CA 95240-5142
Mailing Address4317 Lanai RdEncino, CA 91436-3616 · (818) 561-0132
Phone(206) 334-0127
Fax(209) 334-0127
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 14, 2024
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1922830330 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 · PA65500
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.
999 S FAIRMONT AVE STE 230, Lodi, CA 95240
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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 and accepts Medicare assignment

Jasmine Miriam Esmailzadeh 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 ID9133656762
PECOS Enrollment IDI20241220001835
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 95240 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 2

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

LIZABETH GILLESPIE FNP
Nurse Practitioner
999 S FAIRMONT AVE STE 230
LODI, CA 95240
San Joaquin County (209) 334-4924
DR. MARIA ESTELA ESCALONA M.D.
Obstetrics & Gynecology
999 S FAIRMONT AVE STE 230
LODI, CA 95240
San Joaquin County (209) 334-3343

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 Jasmine Esmailzadeh's NPI number?

The NPI number for Jasmine Esmailzadeh is 1922830330. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Jasmine Esmailzadeh located?

Jasmine Esmailzadeh practices at 999 S Fairmont Ave Ste 230, Lodi, CA 95240. The listed phone number is (206) 334-0127.

What is Jasmine Esmailzadeh's specialty?

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

Is Jasmine Esmailzadeh enrolled in Medicare?

Yes. Jasmine Esmailzadeh 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 Jasmine Esmailzadeh was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.