Active NPI
Jodie Lynn Apostle, PA-C
- Physician Assistant
- Big Bear Lake, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA21168
- Practice address
- 41870 Garstin Dr
Big Bear Lake, CA 92315 - Phone
- (909) 866-6501
- NPI assigned
- Sep 30, 2010
- Last updated
- Oct 12, 2010
- 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 | PA21168 | CA | Primary |
Addresses
Primary practice location
41870 Garstin Dr
Big Bear Lake, CA 92315
Mailing address
9463 Canyon Oaks CT
Rancho Cucamonga, CA 91730-7934
Phone (480) 593-3111
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21168 | CA | MD | Occupational Therapist |
| PA21168 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Clinica Medica Familiar-PHN Inc | Past | Accepting new patients |
Locations
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
Organizations & group practices 7
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.
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-
- Medical Specialty Clinic/Center
- Newport Beach, CA
- NPI 1922061779
-
dba Connected Health Family Care
- Family Medicine Physician
- Fontana, CA
- NPI 1568585024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286841600000",
"number": "1518276161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9463 CANYON OAKS CT",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307934",
"telephone_number": "480-593-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41870 GARSTIN DR",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "92315",
"telephone_number": "909-866-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APOSTLE",
"first_name": "JODIE",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2010-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA21168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Bear Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.