Individual provider Active NPI

Jenina Mesina Del Campo

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
National Provider Identifier
1053046953
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95021161 Issued in CA
Practice address
1855 W Katella Ave
Orange, CA 92867-3451
Phone
(714) 399-3480
NPI assigned
Jul 24, 2022
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021161 CA Primary

Addresses

Primary practice location

1855 W Katella Ave
Orange, CA 92867-3451

Mailing address

1855 W Katella Ave
Orange, CA 92867-3451

Other practice location 1

23161 Mill Creek Dr Ste 230
Laguna Hills, CA 92653-7935
Phone (949) 264-5350

Other practice location 2

12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865
Phone (657) 261-7140

Other names 1

  • Jenina Marie Mesina Del Campo Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929002210 CA Practitioner - Nurse Practitioner 4385020262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Special Service for Groups IncGroup PAC ID 2769396886, 61 clinicians

Practice addresses (Care Compare)

520 S Lafayette Park PL
FL 3
Los Angeles, CA 90057-5400
Phone (213) 252-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95021161CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. CurrentSince Nov 25, 2024 Accepting new patients
College Community Services Current Accepting new patients
Telecare Corporation CurrentSince Sep 1, 2022 Accepting new patients
College Community Services CurrentSince Aug 16, 2024 Accepting new patients
Telecare Corporation CurrentSince Sep 1, 2022 Accepting new patients
Telecare Corporation Current Accepting new patients
College Community Services CurrentSince Aug 16, 2024 Accepting new patients
Special Service for Groups, Inc. Current Accepting new patients
Special Service for Groups, Inc. CurrentSince Nov 25, 2024 Accepting new patients
Telecare Corporation PastSince May 1, 2022 Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

12141 Brookhurst St
Garden Grove, CA 92840
Phone (714) 296-1934

12141 Brookhurst St
Ste 201
Garden Grove, CA 92840
Phone (657) 261-7140

23161 Mill Creek Dr
Ste 230
Laguna Hills, CA 92653
Phone (949) 264-5350

905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800

1855 W Katella Ave
Ste 150
Orange, CA 92867
Phone (714) 399-3480

8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272

2100 N Broadway
Ste 101
Santa Ana, CA 92706
Phone (714) 245-6881

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": "1658620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1053046953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W KATELLA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W KATELLA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673451",
            "telephone_number": "714-399-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23161 Mill Creek Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926537935",
            "country_code": "US",
            "telephone_number": "949-264-5350",
            "fax_number": "949-221-6939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12141 Brookhurst St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928402865",
            "country_code": "US",
            "telephone_number": "657-261-7140",
            "fax_number": "714-922-1032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL CAMPO",
        "first_name": "JENINA",
        "middle_name": "MESINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-24",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENINA MARIE",
            "last_name": "DEL CAMPO",
            "middle_name": "MESINA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.