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

ODYSSEY JASMIN CONTRERAS ATC
NPI 1972050763
Physician Assistant in Loma Linda, CA

Q: What is Odyssey Contreras's NPI number?

The NPI number for Odyssey Contreras is 1972050763. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Q: What is Odyssey Contreras'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 Odyssey Contreras was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.

Active since September 08, 2016PECOS EnrolledAccepts Medicare Assignment

25455 BARTON RD STE 102B, LOMA LINDA, CA 92354(909) 558-2808 Get Directions Write a Review

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

Record update history: Jul 7, 2026, Feb 5, 2026, Mar 15, 2023 and 1 more (4 updates tracked since 2016).

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About Odyssey Jasmin Contreras Atc NPPES

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

ODYSSEY JASMIN CONTRERAS ATC (NPI 1972050763) is an individual physician assistant in Loma Linda, California, licensed in California (PA67286) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972050763

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameODYSSEY JASMIN CONTRERASCredential: ATC

Location Address25455 BARTON RD STE 102BLoma Linda, CA 92354-3139

Mailing Address25455 Barton Rd Ste 102bLoma Linda, CA 92354-3139

Phone(909) 558-2808

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 8, 2016

Last NPPES UpdateJuly 7, 20264 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1972050763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA67286

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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

25455 BARTON RD STE 102B, Loma Linda, CA 92354

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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

Odyssey Jasmin Contreras Atc 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 ID9133696404

PECOS Enrollment IDI20260423001786

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 92354 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

DR. COREY BRANDON FULLER MD

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