Jason Prasitsak Noda, ACNPG-AG

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95016607 Issued in CA

Practice address

11370 Anderson St Ste 2100
Loma Linda, CA 92354

Phone

(909) 558-2822

NPI assigned

Nov 30, 2021

Sex

Male

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jnoda546006@direct.llu.edu

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.

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• Riverside Healthcare System, L.P.

  dba Riverside Community Hospital

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  • NPI 1053358010
  NPD (past)

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1285392068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST STE 2100",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST STE 2100",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "909-558-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18111 Brookhurst St Ste 6100",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927086728",
            "country_code": "US",
            "telephone_number": "714-378-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17100 Euclid St",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927084004",
            "country_code": "US",
            "telephone_number": "714-966-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NODA",
        "first_name": "JASON",
        "middle_name": "PRASITSAK",
        "credential": "ACNPG-AG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95016607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Niu, MD
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• Guiliane Djoumekoum Nkendong
• Debbie Chisomo Nkumba, CNS
• Christina Victoria Nobriga, PHD, CCC-SLP
• Antoinette Noel
• Taneshi Noel
• Anna Louise Noll, M.A.
• Melissa Ann Noone, M.D.
• Sahibzadi Mahrukh Noor, MD

• Acute Care Nurse Practitioner in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.