Active NPI
Andre Cristian De Jesus, RN, FNP, MBA
- Family Nurse Practitioner
- Murrieta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006285
- Practice address
- 24640 Jefferson Ave Ste 208
Murrieta, CA 92562 - Phone
- (877) 448-3627
- NPI assigned
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95006285 | CA | Primary |
Addresses
Primary practice location
24640 Jefferson Ave Ste 208
Murrieta, CA 92562
Mailing address
901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872
Other practice location 1
512 S Glendora Ave
West Covina, CA 91790-3022
Phone (626) 337-2888
Other practice location 2
512 S Glendora Ave
West Covina, CA 91790-3022
Phone (626) 337-2888
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
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2220 Lynn Rd
Suite 301
Thousand Oaks, CA 91360-8005
Phone (805) 495-1073
24640 Jefferson Ave
Suite 208
Murrieta, CA 92562-9027
Phone (951) 395-5457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95006285 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Current | Accepting new patients | |
| Mark H Mazur MD & Barry Statner MD a Professional Corporation | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Past | Accepting new patients | |
| Metro Infusion Center PLLC | Past | Accepting new patients |
Locations
17768 Wika Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 503-1700
2360 E Bidwell St
Ste 107
Folsom, CA 95630
Phone (916) 220-2951
4980 Barranca Pkwy
Ste 195
Irvine, CA 92604
Phone (949) 398-5280
4037 Hardwick St
Lakewood, CA 90712
1174 Castro St
Ste 150
Mountain View, CA 94040
24640 Jefferson Ave
Ste 208
Murrieta, CA 92562
Phone (951) 395-5457
301 S Fair Oaks Ave
Ste 304
Pasadena, CA 91105
Phone (626) 960-2711
15706 Pomerado Rd
Ste S202
Poway, CA 92064
9050 Fairway Dr
Ste 125
Roseville, CA 95678
27699 Jefferson Ave
Ste 311
Temecula, CA 92590
Phone (951) 693-1159
375 Rolling Oaks Dr
Ste 210
Thousand Oaks, CA 91361
Phone (805) 495-1073
2220 Lynn Rd
Ste 301
Thousand Oaks, CA 91360
Phone (805) 495-1073
130 La Casa Via
Ste 108
Walnut Creek, CA 94598
901 McClintock Dr
Ste 201
Burr Ridge, IL 60527
Phone (630) 654-4201
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
Organizations & group practices 5
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.
-
- Infectious Disease Physician
- Thousand Oaks, CA
- NPI 1376631341
CA
-
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
CA
-
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
-
- Infectious Disease Physician
- Plymouth, MI
- NPI 1841530250
-
- Infectious Disease Physician
- Temple Terrace, FL
- NPI 1659862860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1023549037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MCCLINTOCK DR STE 202",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24640 JEFFERSON AVE STE 208",
"city": "MURRIETA",
"state": "CA",
"postal_code": "92562",
"telephone_number": "877-448-3627"
}
],
"practiceLocations": [
{
"address_1": "512 S Glendora Ave",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917903022",
"country_code": "US",
"telephone_number": "626-337-2888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "512 S Glendora Ave",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917903022",
"country_code": "US",
"telephone_number": "626-337-2888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE JESUS",
"first_name": "ANDRE CRISTIAN",
"name_prefix": "Mr.",
"credential": "RN, FNP, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95006285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.