Healthcare Provider Details

I. General information

NPI: 1891539136
Provider Name (Legal Business Name): JASON LOWE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LOWER RAGSDALE DR STE 160
MONTEREY CA
93940-5840
US

IV. Provider business mailing address

1850 EL CAMINO REAL STE 200
BURLINGAME CA
94010-3102
US

V. Phone/Fax

Practice location:
  • Phone: 831-717-4687
  • Fax: 831-901-3160
Mailing address:
  • Phone: 650-697-2431
  • Fax: 650-697-3659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA67131
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: