Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob D Ludvik, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1427585322

Jacob D Ludvik, PHYSICIANASSISTANT is a Physician Assistant in Redlands, California. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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Practice location Address checks out

1901 W Lugonia Ave Ste 230
Redlands, CA 92374-9705
Phone: (909) 557-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1427585322
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 23, 2017
Last updated in NPPESDecember 6, 2021
Mailing address1901 W Lugonia Ave Ste 230, Redlands, CA 92374-9705

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Redlands