Individual provider Active NPI

Lester Jen Yip Ma

  • Surgical Physician Assistant
  • Oakland, CA
National Provider Identifier
1336800275
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
62526 Issued in CA
Practice address
3315 Broadway
Oakland, CA 94611-5717
Phone
(925) 939-8585
NPI assigned
Jan 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 62526 CA Primary

Addresses

Primary practice location

3315 Broadway
Oakland, CA 94611-5717

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396
Phone (925) 939-8585

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
I20230711002471 CA Practitioner - Physician Assistant 0840659678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Sand Creek Rd
Suite B
Brentwood, CA 94513-2540
Phone (925) 939-8585

2405 Shadelands Dr
Walnut Creek, CA 94598-2444
Phone (925) 939-8585

2625 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 939-8585

3315 Broadway
Oakland, CA 94611-5717
Phone (800) 943-8099

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62526CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine CurrentSince May 30, 2023 Accepting new patients
Golden State Orthopedics & Spine CurrentSince May 30, 2023 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

1800 Sutter St
Ste 100
Concord, CA 94520
Phone (925) 691-0500

4000 Dublin Blvd
Ste 100
Dublin, CA 94568
Phone (800) 943-8099

3315 Broadway
Oakland, CA 94611
Phone (510) 486-2300

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Interoperability endpoints

  • Direct secure messaging: lma666610@hisp.ehr.sutterhealth.org
  • Direct secure messaging: lester.ma.p1@direct.muirortho.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1336800275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31396",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945988396",
            "telephone_number": "925-939-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115717",
            "telephone_number": "925-939-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "LESTER",
        "middle_name": "JEN YIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-03",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "62526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.