Individual provider Active NPI

Lisa A. Jaime, PA-C

  • Medical Physician Assistant
  • Cutler, CA
National Provider Identifier
1881830859
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20112 Issued in CA
Practice address
40657 Road 128
Cutler, CA 93615-2003
Phone
(559) 528-3860
Fax
(559) 528-6798
NPI assigned
Dec 22, 2008
Last updated
Aug 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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 PA20112 CA Primary

Addresses

Primary practice location

40657 Road 128
Cutler, CA 93615-2003

Mailing address

1479 W Lacey Blvd
Hanford, CA 93230-5906
Phone (559) 583-4617

Other identifiers 1

IdentifierTypeStateIssuer
PA20112OtherCACA STATE LICIENSE NUMBER

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
I20110713000444 CA Practitioner - Physician Assistant 5092983379 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA20112CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Feb 8, 2019 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Feb 8, 2019 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Past Accepting new patients

Locations

324 N Vermont Ave
Dinuba, CA 93618
Phone (559) 591-1224

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

31180 Road 72
Visalia, CA 93291
Phone (559) 651-2301

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA
  • Direct secure messaging: lisa.jaime@fhcn.eclinicaldirectplus.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1881830859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305906",
            "telephone_number": "559-583-4617",
            "fax_number": "559-583-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40657 ROAD 128",
            "city": "CUTLER",
            "state": "CA",
            "postal_code": "936152003",
            "telephone_number": "559-528-3860",
            "fax_number": "559-528-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIME",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICIENSE NUMBER",
            "identifier": "PA20112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler, CA

Sources for this page

Verify at the official NPI Registry.