Individual provider Active NPI

Jason Ryan Lomheim, PA-C

  • Medical Physician Assistant
  • Long Beach, CA
National Provider Identifier
1124473178
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
53761 Issued in CA
Practice address
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone
(714) 943-2453
NPI assigned
Apr 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 53761 CA Primary

Addresses

Primary practice location

2801 Atlantic Ave
Long Beach, CA 90806-1701

Mailing address

7322 Yellowtail Dr Unit 101
Huntington Beach, CA 92648-2448
Phone (714) 943-2453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222001446 CA Practitioner - Physician Assistant 5092096495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oc Urgentcare Medical Group IncorporatedGroup PAC ID 3375672835, 30 clinicians

Practice addresses (Care Compare)

17672 Beach Blvd
Suite Ab
Huntington Beach, CA 92647-6836
Phone (714) 698-8762

2001 E 4TH St
Suite 104
Santa Ana, CA 92705-3916
Phone (657) 230-7800

23653 El Toro Rd
Suite B
Lake Forest, CA 92630-8614
Phone (949) 317-0312

26781 Portola Pkwy
Suite 4E
Foothill Ranch, CA 92610-1758
Phone (949) 297-3888

610 E Katella Ave
Orange, CA 92867-4954
Phone (714) 694-2001

631 S Brookhurst St
Suite 101
Anaheim, CA 92804-3563
Phone (714) 991-5700

6502 Bolsa Ave
Suite 105
Huntington Beach, CA 92647-2662
Phone (714) 373-2400

8101 Newman Ave
Suite a
Huntington Beach, CA 92647-7042
Phone (714) 698-8580

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
87.09
Improvement activities
40
Cost
78.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53761CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Urgentcare Medical Group Incorporated CurrentSince Feb 14, 2025 Accepting new patients

Locations

631 S Brookhurst St
Ste 101
Anaheim, CA 92804
Phone (714) 991-5700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1124473178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 YELLOWTAIL DR UNIT 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482448",
            "telephone_number": "714-943-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "714-943-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMHEIM",
        "first_name": "JASON",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "53761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.