Individual provider Active NPI

Juanita Isabel Jalomo, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Winterhaven, CA
National Provider Identifier
1053714360
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010669 Issued in CA
Practice address
2133 Winterhaven Dr
Winterhaven, CA 92283-9609
Phone
(760) 538-3073
Fax
(760) 205-0016
NPI assigned
Sep 30, 2014
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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 95010669 CA Primary

Addresses

Primary practice location

2133 Winterhaven Dr
Winterhaven, CA 92283-9609

Mailing address

852 E Danenberg Dr
El Centro, CA 92243-8517
Phone (760) 344-9951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 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
I20180716000738 TX Practitioner - Nurse Practitioner 3870840390 Reassigns benefits to 5 organizations
I20220726002497 CA Practitioner - Nurse Practitioner 3870840390 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas de Salud del Pueblo, Inc Current Accepting new patients
Clinicas de Salud del Pueblo, Inc CurrentSince Jun 6, 2022 Accepting new patients
Woodrow Wilson Keeble Memorial Health Care Center CurrentSince Jun 26, 2018 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Apr 30, 2019 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Apr 30, 2019 Accepting new patients
Ton Sells Hospital CurrentSince Feb 23, 2019 Accepting new patients
Ton San Simon Health Center CurrentSince Feb 23, 2019 Accepting new patients
Ton Santa Rosa Health Center CurrentSince Feb 23, 2019 Accepting new patients
Clinicas de Salud del Pueblo Inc. CurrentSince Jun 6, 2022 Accepting new patients
Clinicas de Salud del Pueblo, Inc. PastSince Jul 17, 2022 Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

223 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-2020

852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257

100 Lake Traverse Dr
Sisseton, SD 57262

Interoperability endpoints

  • Direct secure messaging: juanita.jalomo.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 12

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": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1053714360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 E DANENBERG DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922438517",
            "telephone_number": "760-344-9951",
            "fax_number": "760-344-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 WINTERHAVEN DR",
            "city": "WINTERHAVEN",
            "state": "CA",
            "postal_code": "922839609",
            "telephone_number": "760-538-3073",
            "fax_number": "760-205-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALOMO",
        "first_name": "JUANITA",
        "middle_name": "ISABEL",
        "credential": "MSN, APRN,  FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2022-07-11",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterhaven, CA

Sources for this page

Verify at the official NPI Registry.