Individual provider Active NPI

Jarrett Rikio Lew, PA-C

  • Physician Assistant
  • Sonoma, CA
National Provider Identifier
1922698406
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
446 W Napa St
Sonoma, CA 95476-6519
Phone
(707) 940-1001
NPI assigned
Jan 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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 Primary

Addresses

Primary practice location

446 W Napa St
Sonoma, CA 95476-6519

Mailing address

446 W Napa St
Sonoma, CA 95476-6519
Phone (707) 940-1001

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
I20240430003572 CA Practitioner - Physician Assistant 7911300488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urgent Care Plus Telehealth IncGroup PAC ID 0941630123, 27 clinicians

Practice addresses (Care Compare)

1387 E 2ND St
Benicia, CA 94510-2836
Phone (707) 377-1005

2360 1St St
Napa, CA 94559-2239
Phone (707) 377-1007

440 E Washington St
Suite D
Petaluma, CA 94952-5923
Phone (707) 940-5005

446 W Napa St
Sonoma, CA 95476-6519
Phone (707) 690-5332

Hospital & facility affiliations

  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Plus Telehealth Inc CurrentSince Mar 17, 2024 Accepting new patients
Urgent Care Plus Telehealth Inc PastSince Dec 13, 2022 Accepting new patients

Locations

1387 E 2nd St
Benicia, CA 94510
Phone (707) 377-1005

446 W Napa St
Sonoma, CA 95476
Phone (707) 690-5332

Interoperability endpoints

  • Direct secure messaging: jarrett.lew.1@21754.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1922698406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 W NAPA ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766519",
            "telephone_number": "707-940-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 W NAPA ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766519",
            "telephone_number": "707-940-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "JARRETT",
        "middle_name": "RIKIO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-19",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.