Individual provider Active NPI

Jeremiah Clinton Lewis, PA-C

  • Physician Assistant
  • Yuba City, CA
National Provider Identifier
1609321900
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53576 Issued in CA
Practice address
444 Plumas Blvd
Yuba City, CA 95991-5071
Phone
(530) 749-3420
Fax
(530) 749-3482
NPI assigned
Aug 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 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 53576 CA Primary

Addresses

Primary practice location

444 Plumas Blvd
Yuba City, CA 95991-5071

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other practice location 1

18384 Mandarin St
Woodland, CA 95695-6013
Phone (530) 908-6858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170619001412 TX Practitioner - Physician Assistant 4789952607 Reassigns benefits to 1 organization
I20190502000643 CA Practitioner - Physician Assistant 4789952607 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
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)

16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457

2800 L St
Sacramento, CA 95816-5616

440 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3409

444 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53576CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Dec 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 1, 2025 Accepting new patients
Northern Valley Indian Health Inc Current Accepting new patients
Northern Valley Indian Health Inc CurrentSince May 10, 2017 Accepting new patients

Locations

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

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

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

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

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

444 Plumas Blvd
Yuba City, CA 95991
Phone (530) 749-3420

Interoperability endpoints

  • Direct secure messaging: jlewis367388@hisp.ehr.sutterhealth.org
  • Direct secure messaging: jeremiah.lewis.1@31427.direct.athenahealth.com
  • Direct secure messaging: jeremiah.lewis@3856.securemail.prognocis.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1609321900",
    "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",
            "telephone_number": "800-470-0071",
            "fax_number": "916-854-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 PLUMAS BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959915071",
            "telephone_number": "530-749-3420",
            "fax_number": "530-749-3482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18384 Mandarin St",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "956956013",
            "country_code": "US",
            "telephone_number": "530-908-6858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JEREMIAH",
        "middle_name": "CLINTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-17",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.