Individual provider Active NPI

Cynthia De Jarnett, FNP

  • Family Nurse Practitioner
  • Cerritos, CA
National Provider Identifier
1023409620
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002021 Issued in CA
Practice address
12900 Park Center Dr.
#150
Cerritos, CA 90703
Phone
(866) 646-3553
Fax
(562) 622-3058
NPI assigned
Feb 18, 2015
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95002021 CA Primary

Addresses

Primary practice location

12900 Park Center Dr.
#150
Cerritos, CA 90703

Mailing address

2225 Artesia Blvd
Torrance, CA 90504-2945
Phone (562) 754-1976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: cdejarnett20048@carelonhealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1023409620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 ARTESIA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905042945",
            "telephone_number": "562-754-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 PARK CENTER DR.",
            "address_2": "#150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "866-646-3553",
            "fax_number": "562-622-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JARNETT",
        "first_name": "CYNTHIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.