Individual provider Active NPI

Jaime Zeledon, N.P.

  • Family Nurse Practitioner
  • San Jacinto, CA
National Provider Identifier
1043666092
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004298 Issued in CA
Practice address
1695 S San Jacinto Ave Ste a-CD
San Jacinto, CA 92583-5103
Phone
(951) 330-3100
Fax
(951) 380-8596
NPI assigned
May 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95004298 CA
Family Nurse Practitioner 363LF0000X 95004298 CA Primary

Addresses

Primary practice location

1695 S San Jacinto Ave Ste a-CD
San Jacinto, CA 92583-5103

Mailing address

7726 Whitney Dr
Jurupa Valley, CA 92509-5434
Phone (626) 827-7324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160825002353 CA Practitioner - Nurse Practitioner 2466747779 Reassigns benefits to 3 organizations
I20250305003157 TX Practitioner - Nurse Practitioner 2466747779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
23.24 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
77.46

Merit-based Incentive Payment System (MIPS)

Final score
76.8 of 100Reported as group
Quality
65.04
Improvement activities
40
Cost
86.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Dec 13, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Sep 12, 2024 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Dec 13, 2024 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Dec 13, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Nurse Practitioner CurrentSince Sep 12, 2024 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince Sep 12, 2024 Accepting new patients
Openloop Healthcare Partners PC Nurse Practitioner Past Accepting new patients
Openloop Healthcare Partners California PC Nurse Practitioner Past Accepting new patients
Moeller-Bertram Medical Corporation PastSince May 1, 2025 Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

511 N Hollywood Way
Burbank, CA 91505
Phone (818) 841-0710

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone (619) 461-4411

7096 N West Ave
Fresno, CA 93711
Phone (559) 436-0471

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3064

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jaime.zeledon.1@27211.direct.athenahealth.com

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1043666092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 WHITNEY DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925095434",
            "telephone_number": "626-827-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE STE A-CD",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-330-3100",
            "fax_number": "951-380-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELEDON",
        "first_name": "JAIME",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95004298",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.