Individual provider Active NPI

Jonathan Delgado-Lopez, PA-C

  • Physician Assistant
  • Fairfield, CA
National Provider Identifier
1548738198
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
55983 Issued in CA
Practice address
2702 Low CT
Fairfield, CA 94534-9771
Phone
(707) 432-2777
NPI assigned
Nov 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 55983 CA Primary

Addresses

Primary practice location

2702 Low CT
Fairfield, CA 94534-9771

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

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
I20201111000772 CA Practitioner - Physician Assistant 4981014586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

2800 L St
Sacramento, CA 95816-5616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.39 of 100Reported as group
Quality
75.67
Promoting interoperability
100
Improvement activities
40
Cost
74.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Sep 1, 2024 Accepting new patients
Sutter Valley Medical Foundation Physician Assistant CurrentSince Sep 1, 2024 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Aug 4, 2020 Accepting new patients
Anaheim Urgent Care CurrentSince Aug 4, 2020 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

2020 Sutter Pl
Ste 101
Davis, CA 95616
Phone (530) 750-5830

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

2702 Low Ct
Fairfield, CA 94534
Phone (707) 432-2600

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

Interoperability endpoints

  • Direct secure messaging: jdelgadolopez611348@hisp.ehr.sutterhealth.org

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 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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1548738198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 LOW CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349771",
            "telephone_number": "707-432-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO-LOPEZ",
        "first_name": "JONATHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-12",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.