Liliana Jaques, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

54965 Issued in CA

Practice address

400 E Romie LN
Salinas, CA 93901

Phone

(831) 770-0123

NPI assigned

Sep 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, CA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Capital Medical Center Physicians LLCGroup PAC ID 3678639879, 59 clinicians

Acacia Family Medical GroupGroup PAC ID 6507840394, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
• Capital Medical Center Hospital, Olympia, WA, CCN 500139

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: liliana.jaques.1@31019.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2876/brand/1/csg/201/fhir/r4

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

• Acacia Family Medical Group

  • Family Medicine Physician
  • Salinas, CA
  • NPI 1871603258
  Medicare reassignment Care Compare group NPD
• Capital Medical Center Physicians LLC

  dba Olympia Family Medicine

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1629214283
  Medicare reassignment Care Compare group
• Capital Medical Center Physicians LLC

  dba Tumwater Family Practice Clinic by MultiCare

  • Family Medicine Physician
  • Tumwater, WA
  • NPI 1568229540
  NPD
• Capital Medical Center Physicians LLC

  dba Montesano Internal Medicine by MultiCare

  • Internal Medicine Physician
  • Montesano, WA
  • NPI 1710744792
  NPD
• Olympia Family Medicine, Inc.

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1023201126
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Multicare Health System

  dba Tacoma General Allenmore

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1366556227
  Care Compare affiliation
• Multicare Health System

  dba MultiCare Capital Medical Center

  • General Acute Care Hospital
  • Olympia, WA
  • NPI 1841258639
  Care Compare affiliation

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1184025744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014017",
            "telephone_number": "831-770-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93901",
            "telephone_number": "831-770-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Lilly Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065115",
            "country_code": "US",
            "telephone_number": "253-507-2911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAQUES",
        "first_name": "LILIANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary James, PA-C
• John Thomas Jameson, M.D.
• Herjap Janda, M.D.
• Marissa Sebastian Jang, N.P.
• Atul Natwar Jani, M.D.
• Delillah Maura Jaquez
• Leticia P Jara, RN
• Norma Jaramillo, CADCII
• Antonia Jardines-Cruz
• Daniel Anthony Jardini, MD

• Physician Assistant in Salinas, CA
• Providers in Salinas, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.