Active NPI
Colleen Zumaran Jewess, PA-C
- Physician Assistant
- Riverside, CA
National Provider Identifier
1013591890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61668
- Practice address
- 9041 Magnolia Ave Ste 206
Riverside, CA 92503-3956 - Phone
- (951) 354-2220
- NPI assigned
- May 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61668 | CA | Primary |
Addresses
Primary practice location
9041 Magnolia Ave Ste 206
Riverside, CA 92503-3956
Mailing address
9041 Magnolia Ave Ste 206
Riverside, CA 92503-3956
Phone (951) 354-2220
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Utah School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Avocado Ave
Suite 702
Newport Beach, CA 92660-7708
Phone (949) 706-7886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61668 | CA | MD | Physician Assistant |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJCIAA/Endpoint/CJCIAA
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1013591890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9041 MAGNOLIA AVE STE 206",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033956",
"telephone_number": "951-354-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9041 MAGNOLIA AVE STE 206",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033956",
"telephone_number": "951-354-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWESS",
"first_name": "COLLEEN",
"middle_name": "ZUMARAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-08",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA61668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.