Individual provider Active NPI

Jennifer Ornelas

  • Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1013332451
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A152376 Issued in CA
Practice address
1495 River Park Dr Ste 200
Sacramento, CA 95815-4517
Phone
(916) 925-7020
Fax
(916) 925-3680
NPI assigned
Feb 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A152376 CA Primary

Addresses

Primary practice location

1495 River Park Dr Ste 200
Sacramento, CA 95815-4517

Mailing address

1495 River Park Dr Ste 200
Sacramento, CA 95815-4517
Phone (916) 925-7020

Other practice location 1

4610 X St
Sacramento, CA 95817-2200
Phone (916) 816-0544

Other practice location 2

3301 C St Ste 1300
Sacramento, CA 95816
Phone (916) 734-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322000965 CA Practitioner - Dermatology 2961796941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Davis School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Skin InstituteGroup PAC ID 2365788825, 9 clinicians

Practice addresses (Care Compare)

1495 River Park Dr
Suite 200
Sacramento, CA 95815-4517
Phone (916) 925-7020

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
85.99
Promoting interoperability
89
Improvement activities
40
Cost
77.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions770
Removal or shaving of skin growth22
Skin biopsy171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter North Medical Foundation Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
University of California San Francisco Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jornelas92011@hpmg.direct-ci.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1013332451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 RIVER PARK DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154517",
            "telephone_number": "916-925-7020",
            "fax_number": "916-925-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 RIVER PARK DR STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154517",
            "telephone_number": "916-925-7020",
            "fax_number": "916-925-3680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 X ST",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172200",
            "country_code": "US",
            "telephone_number": "916-816-0544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 C St Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95816",
            "country_code": "US",
            "telephone_number": "916-734-6111",
            "fax_number": "916-731-7183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORNELAS",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A152376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.