Active NPI
Erin Jaeger, PA-C
- Physician Assistant
- Colton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA51364
- Practice address
- 1850 E Washington St
Colton, CA 92324-4621 - Phone
- (909) 887-2991
- Fax
- (909) 887-5694
- NPI assigned
- Jul 22, 2014
- Last updated
- Jul 18, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA51364 | CA | Primary |
Addresses
Primary practice location
1850 E Washington St
Colton, CA 92324-4621
Mailing address
1850 E Washington St
Colton, CA 92324-4621
Phone (909) 887-2991
Other practice location 1
69175 Ramon Rd
Cathedral City, CA 92234-3344
Phone (760) 321-6776
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 Nevada St
Redlands, CA 92374-2895
Phone (909) 809-5250
2100 E Tahquitz Canyon Way
Palm Springs, CA 92262-7006
Phone (760) 841-3220
621 W Line St
Suite 105
Bishop, CA 93514-3320
Phone (760) 873-8781
74320 Hwy 111
Suite 100
Palm Desert, CA 92260-4140
Phone (760) 423-5610
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.69 of 100
- Quality
- 91.59
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 76.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA51364 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Emergency Medicine | Current | Accepting new patients | |
| La Laser Center PC, a Professional Medical Corporation | Past | Accepting new patients | |
| La Laser Center PC, a Professional Medical Corporation | Past | Accepting new patients |
Locations
1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577
1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500
33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- erinja@lalasercenter.emadirect.md
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- San Clemente, CA
- NPI 1306982855
-
- Urgent Care Clinic/Center
- San Bernardino, CA
- NPI 1639314255
-
dba Visalia Dermatology & Skin Cancer
- Non-Pharmacy Dispensing Site
- Visalia, CA
- NPI 1083247795
-
dba Skin and Cancer Institute - Turlock
- Non-Pharmacy Dispensing Site
- Turlock, CA
- NPI 1356974059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1407263486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 E WASHINGTON ST",
"city": "COLTON",
"state": "CA",
"postal_code": "923244621",
"telephone_number": "909-887-2991",
"fax_number": "909-887-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 E WASHINGTON ST",
"city": "COLTON",
"state": "CA",
"postal_code": "923244621",
"telephone_number": "909-887-2991",
"fax_number": "909-887-5694"
}
],
"practiceLocations": [
{
"address_1": "69175 Ramon Rd",
"address_purpose": "LOCATION",
"city": "Cathedral City",
"state": "CA",
"postal_code": "922343344",
"country_code": "US",
"telephone_number": "760-321-6776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAEGER",
"first_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA51364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.