Jean Rene Lorial, PA, FSA,MD

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10338 Issued in AZ

Practice address

5847 S 16TH St
Phoenix, AZ 85040-3512

Phone

(602) 609-4107

NPI assigned

May 17, 2023

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jean.rene.lorial.1@33008.direct.athenahealth.com

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.

• Johnny Michel, M.D., PLLC.

  dba Harvest SS Health

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1699450825
  Medicare reassignment
• Latino Care, LLC

  dba Clinica Medica Hispana

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1982031795

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1427749639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 CARD BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462216102",
            "telephone_number": "812-887-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 S 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850403512",
            "telephone_number": "602-609-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORIAL",
        "first_name": "JEAN RENE",
        "name_prefix": "Dr.",
        "credential": "PA, FSA,MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-17",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "001660",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PACN21",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "10338",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "WI",
            "license": "21-263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lorenz
• Michelle Lorenzana, LMFT
• Yolanda Lorenzo
• Lori K Anderson DDS PLLC (Anderson Dental)
• Lori K Anderson, DDS, PC
• Rosario Lorigan, LPC
• Karla Michelle Lorincy, MSN-FNP, RN
• Paul Bruce Lorton, PHARMD
• Ronald Alyn Lorts, DMD
• Los Ninos Hospital Inc (Innovative Home Health Care)

• Medical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.