Jacob Wayne Pankey, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1337 S Lovers LN Ste D
Visalia, CA 93292-5249

Phone

(559) 627-9901

Fax

(559) 627-9906

NPI assigned

Feb 21, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Artius Dermatology Associates PCGroup PAC ID 6305126780, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpankey@artiusderm.emadirect.md

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.

• Artius Dermatology Associates, P.C.

  • Dermatology Physician
  • Hanford, CA
  • NPI 1245782291
  Medicare reassignment Care Compare group
• Chico Dermatology Inc

  • Dermatology Physician
  • Chico, CA
  • NPI 1578121570
  Medicare reassignment NPD
• Sol Dermatology Associates

  • Dermatology Physician
  • Santa Barbara, CA
  • NPI 1164391959
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kaweah Delta Health Care District

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  Care Compare affiliation

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1962268656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S LOVERS LN STE D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932925249",
            "telephone_number": "559-627-9901",
            "fax_number": "559-627-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 S LOVERS LN STE D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932925249",
            "telephone_number": "559-627-9901",
            "fax_number": "559-627-9906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "573 W Putnam Ave",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932573270",
            "country_code": "US",
            "telephone_number": "559-781-1812",
            "fax_number": "559-781-3852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANKEY",
        "first_name": "JACOB",
        "middle_name": "WAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahian Isael Palomo
• Maritza Evelyn Palos-Lopez
• Christian Panaligan, CRNA
• Geethanjali Suratkal Pandey, RPH
• Jyoti Panicker, M.D.
• Tara Pankratz
• Richard Leo Pantera, MD
• Angela Pap, M.D.
• Monica L Pappas
• Andrea Marie Pardo, PHARM D.

• Medical Physician Assistant in Visalia, CA
• Providers in Visalia, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.