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SARAH LANE KETCHAM PA-C
NPI 1972341691
Physician Assistant in San Marcos, CA

Active since July 17, 2024PECOS EnrolledAccepts Medicare Assignment
314 S TWIN OAKS VALLEY RD, SAN MARCOS, CA 92078(858) 554-1212(858) 795-1195 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sarah Lane Ketcham Pa-c NPPES

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

SARAH LANE KETCHAM PA-C (NPI 1972341691) is an individual physician assistant in San Marcos, California, licensed in California (PA65703) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1972341691
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSARAH LANE KETCHAMCredential: PA-C
Location Address314 S TWIN OAKS VALLEY RDSan Marcos, CA 92078-4388
Mailing Address9850 Genesee Ave Ste 320La Jolla, CA 92037-1208 · (858) 554-1212 · Fax (858) 795-1195
Phone(858) 554-1212
Fax(858) 795-1195
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 17, 2024
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1972341691 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 · PA65703
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.
314 S TWIN OAKS VALLEY RD, San Marcos, CA 92078
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Other Names 1

Former Name (1)Sarah Lane Nuttall Pa-c

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

Sarah Lane Ketcham Pa-c 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 ID1254851140
PECOS Enrollment IDI20250221002779
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 92078 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

DR. PIERRE DOCHE DMD
Dentist
314 S TWIN OAKS VALLEY RD
SAN MARCOS, CA 92078
San Diego County (760) 744-0804

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 Sarah Ketcham's NPI number?

The NPI number for Sarah Ketcham is 1972341691. It was assigned to this individual provider in the NPPES registry on July 17, 2024. The provider is also known as Sarah Lane Nuttall Pa-C.

Where is Sarah Ketcham located?

Sarah Ketcham practices at 314 S Twin Oaks Valley Rd, San Marcos, CA 92078. The listed phone number is (858) 554-1212.

What is Sarah Ketcham's specialty?

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

Is Sarah Ketcham enrolled in Medicare?

Yes. Sarah Ketcham 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 Sarah Ketcham was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.