Individual provider Active NPI

Roya Jannesari, N.P.

  • Nurse Practitioner
  • Escondido, CA
National Provider Identifier
1063585099
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP7645 Issued in CA
Practice address
625 W Citracado Pkwy
Suite 108
Escondido, CA 92025
Phone
(760) 743-1431
Fax
(760) 743-6455
NPI assigned
Nov 16, 2006
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP7645 CA Primary

Addresses

Primary practice location

625 W Citracado Pkwy
Suite 108
Escondido, CA 92025

Mailing address

625 W Citracado Pkwy
Suite 108
Escondido, CA 92025
Phone (760) 743-1431

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
I20130607000293 CA Practitioner - Nurse Practitioner 7719144328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North County Endocrine Medical GroupGroup PAC ID 8224063607, 6 clinicians

Practice addresses (Care Compare)

625 Citracado Pkwy
Suite 108
Escondido, CA 92025-6428
Phone 76074314311554

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7645CAMDClinical Social Worker
NP7645CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North County Endocrine Medical Group CurrentSince Jan 1, 2016 Accepting new patients
Diabetes and Endocrine Associates Past Accepting new patients

Locations

625 Citracado Pkwy
Escondido, CA 92025
Phone (760) 227-9011

625 Citracado Pkwy
Ste 108
Escondido, CA 92025
Phone (760) 743-1431

700 W El Norte Pkwy
Ste 201
Escondido, CA 92026
Phone (760) 466-1554

3927 Waring Rd
Ste C
Oceanside, CA 92056
Phone (619) 703-7220

28441 Rancho California Rd
Ste 104
Temecula, CA 92590
Phone (760) 743-1431

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCGBCA/Endpoint/FCGBCA

Organizations & group practices 2

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1063585099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W CITRACADO PKWY",
            "address_2": "SUITE 108",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92025",
            "telephone_number": "760-743-1431",
            "fax_number": "760-743-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W CITRACADO PKWY",
            "address_2": "SUITE 108",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92025",
            "telephone_number": "760-743-1431",
            "fax_number": "760-743-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNESARI",
        "first_name": "ROYA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP7645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.