Active NPI
Jason Daniel Hamilton, PA
- Medical Physician Assistant
- Menifee, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 27168 Newport Rd Ste 1
Menifee, CA 92584-7383 - Phone
- (951) 246-3033
- Fax
- (951) 246-7373
- NPI assigned
- Jun 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
27168 Newport Rd Ste 1
Menifee, CA 92584-7383
Mailing address
31588 Railroad Canyon Rd
Canyon Lake, CA 92587-9468
Phone (951) 821-3252
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231026003814 | CA | Practitioner - Physician Assistant | 8224484290 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rancho Family Medical Group IncI-Care Medical Professional Corp
Practice addresses (Care Compare)
263 Church Ave
Chula Vista, CA 91910-2728
Phone (619) 422-1324
27722 Clinton Keith Rd
Murrieta, CA 92562-8560
Phone (951) 878-9820
28780 Single Oak Dr
Temecula, CA 92590-5528
Phone (951) 676-4193
31720 Temecula Pkwy
Suite 100
Temecula, CA 92592-5895
Phone (951) 676-4193
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61781 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Urgent Care a Medical Corporation | Current | Accepting new patients | |
| Inland Urgent Care a Medical Corporation | Current | Accepting new patients | |
| UC San Diego Health - Rancho Family Medical Group | Past | Accepting new patients | |
| Rincon Health Network | Past | Accepting new patients |
Locations
31588 Railroad Canyon Rd
Canyon Lake, CA 92587
27168 Newport Rd
Ste 1
Menifee, CA 92584
Phone (951) 246-3033
29738 Rancho California Rd
Ste B
Temecula, CA 92591
Phone (951) 303-6440
36320 Inland Valley Dr
Ste 307
Wildomar, CA 92595
Phone (909) 600-0110
Interoperability endpoints
- jasonhamilton@vucdbaiuc.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Sports Medicine (Emergency Medicine) Physician
- Murrieta, CA
- NPI 1184063620
CA
-
- Urgent Care Clinic/Center
- Corona, CA
- NPI 1013369321
-
- Urgent Care Clinic/Center
- Temecula, CA
- NPI 1649052218
-
- Health Service Clinic/Center
- Temecula, CA
- NPI 1902697832
-
- Multi-Specialty Clinic/Center
- Temecula, CA
- NPI 1003385071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1295961100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31588 RAILROAD CANYON RD",
"city": "CANYON LAKE",
"state": "CA",
"postal_code": "925879468",
"telephone_number": "951-821-3252",
"fax_number": "951-471-8026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27168 NEWPORT RD STE 1",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925847383",
"telephone_number": "951-246-3033",
"fax_number": "951-246-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "JASON",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-05",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.