MATTHEW JORDAN SANTA CRUZ (PA) – Physician Assistant, NPI 1609424027
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for MATTHEW JORDAN SANTA CRUZ (PA)
Summit Avenue, Fontana, San Bernardino County, California, 92336, United States
FONTANA, CA 923360432
Phone: (909) 922-4055
Type: Mailing
4234 Riverwalk Parkway, Riverside, Riverside County, California, 92515, United States
RIVERSIDE, CA 925053312
Phone: (951) 781-3672
Type: Location
2021 S Jones Blvd
Las Vegas, NV 891463137
Phone: (702) 202-0099
Type: Location
2021 S JONES BLVD
LAS VEGAS, NV 891463137
Phone: (909) 922-4055
Type: Mailing
1234 FOOTHILL BLVD
LA VERNE, CA 917503329
Phone: (909) 971-4808
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $204.
Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.
Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($125).
Total Amount
$204
General + Research + Ownership
Payments
6
Total payment records
General Amount
$204
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vanda Pharmaceuticals Inc. | $125 |
| Lilly USA, LLC | $49 |
| Bayer Healthcare Pharmaceuticals Inc. | $15 |
| Horizon Therapeutics plc | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-09-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200407001944 | I | Physician Assistant | CA | TBD |
| I20220926000783 | I | Physician Assistant | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 258 | 176 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 91 | 13 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 83 | 83 | $0 |
| 81002 | Urinalysis, manual test | 42 | 39 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 42 | 33 | $0 |
Insurance plans in this area (ZIP 92336)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Endocrinology, Internal Medicine | CA | |
| - | CA | |
| Physician Assistant | CA | |
| Family Practice | CA | |
| - | CA | |
| Physician Assistant | CA |
Reviews
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