Jordan Renee Bomba, PT - Medicare Physical Therapist in Lafayette, CA

Jordan Renee Bomba, PT is a medicare enrolled "Physical Therapist" provider in Lafayette, California. Her current practice location is 3658 Mt Diablo Blvd Ste 100, Lafayette, California. You can reach out to her office (for appointments etc.) via phone at (925) 284-6150.

Jordan Renee Bomba is licensed to practice in California (license number 303128) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356050090.

Contact Information

Jordan Renee Bomba, PT
3658 Mt Diablo Blvd Ste 100,
Lafayette, CA 94549-6883
(925) 284-6150
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJordan Renee Bomba
GenderFemale
SpecialityPhysical Therapist
Location3658 Mt Diablo Blvd Ste 100, Lafayette, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356050090
  • Provider Enumeration Date: 11/21/2022
  • Last Update Date: 01/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9032580048
  • Enrollment ID: I20230130000269

Medical Identifiers

Medical identifiers for Jordan Renee Bomba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356050090NPI-NPPES
303128OtherCAPHYSICAL THERAPY BOARD OF CA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 303128 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordan Renee Bomba allows following entities to bill medicare on her behalf.
Provider NameLafayette Physical Therapy Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1225125081
PECOS PAC ID: 2365420601
Enrollment ID: O20040712001461
Provider NameSports & Orthopedic Leaders Physical Therapy Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1013981760
PECOS PAC ID: 0446146708
Enrollment ID: O20090729000913
Provider NameCalifornia Luna Care Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1689162166
PECOS PAC ID: 9638427834
Enrollment ID: O20180803002123

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Renee Bomba is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan Renee Bomba, PT
3468 Mt Diablo Blvd Ste B110,
Lafayette, CA 94549-7105

Ph: (925) 284-6150
Jordan Renee Bomba, PT
3658 Mt Diablo Blvd Ste 100,
Lafayette, CA 94549-6883

Ph: (925) 284-6150

Reviews and Comments


Physical Therapist in Lafayette, CA

Beata Zegarowski, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1292 Quandt Ct, Lafayette, CA 94549
Phone: 925-216-5047    
Jonathan Ide-don, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1041 Stuart St Ste A, Lafayette, CA 94549
Phone: 925-286-8545    
Mr. Theodore Alan Glattke, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3717 Mt Diablo Blvd, Suite100, Lafayette, CA 94549
Phone: 925-284-5300    Fax: 925-284-5381
Mrs. Gladdys Oliva Santiago, P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3441 Golden Gate Way Apt B, Lafayette, CA 94549
Phone: 925-286-3369    
Mr. Harpreet Singh Sohi, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3468 Mt Diablo Blvd Ste B110, Lafayette, CA 94549
Phone: 925-284-6150    
Dr. Heidi Ananda Ojha, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3330 St Marys Rd, Lafayette, CA 94549
Phone: 650-804-0350    
Mr. Eugene Medina,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3390 Mt Diablo Blvd, Suite 201, Lafayette, CA 94549
Phone: 925-284-6150    Fax: 925-284-6155

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.