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Deactivated NPI 1457547598 Deactivated / Inactive NPI Male Practitioner

Jon Sanford Lieberg , PA-C

Physician Assistant • Turlock, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jon Lieberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2007
NPI Deactivation Date July 22, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Jon Lieberg, PA-C was a registered Physician Assistant practicing in Turlock, CA. Throughout an active medical career spanning 15 years, Jon Lieberg provided care at the practice location at 825 DELBON AVE until profile deactivation on 2022-07-22.

Historical Medicare Part B clinical services included emergency department visit with low level of medical decision making, emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

825 Delbon Ave

Turlock, CA 953822016

Telephone 2096642890
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Turlock, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
31 Specialists

Practicing in Turlock, CA (14617 Statewide)

Telehealth Adoption Rate
3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99283 Emergency department visit with low level of medical decision making
26 26 $423.62 $59.01

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 19340

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Robert Goh , MD

Emergency Medicine

NPI 1588670673

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 22, 2022

Record deactivated on July 22, 2022

NPI Profile Active February 07, 2014

NPI status registered as active in NPPES database

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Updated Practice Location February 07, 2014

Registered at 825 DELBON AVE, TURLOCK, CA 953822016 (Tel: 2096642890)

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Updated Business Mailing Address February 07, 2014

Registered at PO BOX 662110, ARCADIA, CA 910662110 (Tel: 6264470296)

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Provider Name / Credentials Updated February 07, 2014

Recorded as JON LIEBERG, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2014

Physician Assistant (License #19340 in CA)

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Initial NPI Registration & Enumeration September 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457547598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2007
Last Update: February 07, 2014
Deactivation Date: July 22, 2022

Mailing Address

Po Box 662110

Arcadia, CA 910662110

Phone: 6264470296

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.