Individual provider Active NPI

Jose Luis Suarez Jr., P.A.

  • Medical Physician Assistant
  • Vista, CA
National Provider Identifier
1497757728
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA17072 Issued in CA
Practice address
969 S Santa Fe Ave Ste a
Vista, CA 92083-6910
Phone
(760) 941-7050
Fax
(760) 941-7250
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA17072 CA Primary

Addresses

Primary practice location

969 S Santa Fe Ave Ste a
Vista, CA 92083-6910

Mailing address

969 S Santa Fe Ave Ste a
Vista, CA 92083-6910
Phone (760) 941-7050

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
I20070808000713 CA Practitioner - Physician Assistant 7113018920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Oral Roberts University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VF Alliance a Medical CorporationGroup PAC ID 1254697303, 9 clinicians

Practice addresses (Care Compare)

969 S Santa Fe Ave
Suite a
Vista, CA 92083-6910
Phone (760) 941-7050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA17072CAMDMedical Physician Assistant
17072CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Family Health Center,a Medical Corporation PastSince Oct 1, 2007 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: suarezluis@vfhc-ca.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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 1

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1497757728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 S SANTA FE AVE STE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836910",
            "telephone_number": "760-941-7050",
            "fax_number": "760-941-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 S SANTA FE AVE STE A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836910",
            "telephone_number": "760-941-7050",
            "fax_number": "760-941-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.