Jason Rogers, PA
Physician Assistant in Lodi, CA. Individual provider (NPI-1).
NPI number1669970778
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1669970778
- Entity type
- Individual (NPI-1)
- Name
- Jason Rogers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2018
- Certification date
- Oct 10, 2023
- Last updated
- Oct 10, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 55269 | CA | Yes |
| 363A00000X | Physician Assistant | 7007 | AZ |
Practice location
975 S Fairmont AveLodi, CA 95240-5118
Phone 209-334-3411
Mailing address
8450 E Bonita DrScottsdale, AZ 85250-7414
Phone 480-370-0949
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All 20 Physician Assistant providers in Lodi · All 1,321 providers in Lodi
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