MR. JERRY WILLIAM PIMENTEL (PA-C) – Physician Assistant, NPI 1659504447

MR. JERRY WILLIAM PIMENTEL (PA-C) is a healthcare provider. based in Hilmar, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA20475 (CA). The NPI Number for MR. JERRY WILLIAM PIMENTEL (PA-C) is 1659504447

Main info

Male
17 Years Of Experience
Name
MR. JERRY WILLIAM PIMENTEL (PA-C)
NPI
1659504447
Phone
(209) 604-9320
Address
PO BOX 206
Enumeration Date
27 August 2009
Last Update Date
13 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2096560183
Graduation Year
2009 (17 years ago)
PAC ID
1557409901
Group Practice PAC ID
2769549914
Professional Enrollment ID
I20091105000351
Address ID
CA953822004TU2200XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MR. JERRY WILLIAM PIMENTEL (PA-C)

  • PO BOX 206

    HILMAR, CA 953240206

    Phone: (209) 604-9320

    Type: Mailing

  • 2150 COLORADO AVE

    TURLOCK, CA 953822003

    Phone: (209) 656-0183

    Fax: (209) 656-0199

    Type: Location

  • Ronald V Bjarason Do, 8397, Lander Avenue, Hilmar, Merced County, California, 95324, United States

    HILMAR, CA 953248324

    Phone: (209) 669-2655

    Fax: (209) 669-2657

    Type: Location

  • 220 STANDIFORD AVE

    STE F

    MODESTO, CA 953501159

    Phone: (209) 661-4335

    Fax: (209) 579-5637

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $684.

Total Amount is formed as General ($684) + Research ($0) + Ownership ($0) = $684.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Smith+Nephew, Inc. ($326).

Total Amount

$684

General + Research + Ownership

Payments

33

Total payment records

General Amount

$684

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-11-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091105000351IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769549914View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineCA

Reviews

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Frequently asked questions

Can I verify MR. JERRY WILLIAM PIMENTEL (PA-C) with an NPI only?
You can start verification with NPI 1659504447 for MR. JERRY WILLIAM PIMENTEL (PA-C), then check state licensing separately.
Does the file indicate MR. JERRY WILLIAM PIMENTEL (PA-C) is practicing under active NPI?
Directory data currently reports MR. JERRY WILLIAM PIMENTEL (PA-C) as active.
What healthcare role does MR. JERRY WILLIAM PIMENTEL (PA-C) hold?
Scheduling teams often label MR. JERRY WILLIAM PIMENTEL (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MR. JERRY WILLIAM PIMENTEL (PA-C)?
MR. JERRY WILLIAM PIMENTEL (PA-C)'s geographic hint is Hilmar, California in our summary view.
Why does MR. JERRY WILLIAM PIMENTEL (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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