| Jason L Roddick, PA-C | |
|
25815 Barton Rd Ste 101, Loma Linda, CA 92354-3894 | |
| (909) 796-0224 | |
| (909) 796-0225 |
| Full Name | Jason L Roddick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 25815 Barton Rd Ste 101, Loma Linda, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164509899 | NPI | - | NPPES |
| AR447Z | Other | INDIVIDUAL PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA18638 (California) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA18638 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Dermatology And Skin Cancer Specialists | 3678702206 | 12 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason L Roddick, PA-C 25815 Barton Rd, Ste 101, Loma Linda, CA 92354-3894 Ph: (909) 796-0224 | Jason L Roddick, PA-C 25815 Barton Rd Ste 101, Loma Linda, CA 92354-3894 Ph: (909) 796-0224 |
Mr. Randal Keith Gilman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4475 Fax: 909-558-4143 | |
Ms. Jocelyn Isabel Castaneda, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 24785 Anderson St, Loma Linda, CA 92354 Phone: 909-558-7294 | |
Elaine Marie Legaspi, Physician Assistant Medicare: Medicare Enrolled Practice Location: 10859 Heirloom Way, Loma Linda, CA 92354 Phone: 626-347-5904 | |
Liming Bu, Physician Assistant Medicare: Medicare Enrolled Practice Location: 25333 Barton Rd, Loma Linda, CA 92350 Phone: 909-558-6641 | |
Minh-anh Nguyen Luong, Physician Assistant Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600 | |
Marque R Dietzler, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4444 | |
Micah Clement, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd, Loma Linda, CA 92354 Phone: 909-558-6600 |