Individual provider Active NPI

Jacquiline W Njagi-Brown, NP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1073322681
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028823 Issued in CA
Practice address
11800 Carmel Creek Rd Apt 366
San Diego, CA 92130-2809
Phone
(619) 248-1195
NPI assigned
Jan 7, 2025
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 95028823 CA Primary

Addresses

Primary practice location

11800 Carmel Creek Rd Apt 366
San Diego, CA 92130-2809

Mailing address

11800 Carmel Creek Rd Apt 366
San Diego, CA 92130-2809

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
I20260219000507 CA Practitioner - Nurse Practitioner 1456831270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

440 Stevens Ave
Suite 370
Solana Beach, CA 92075-2057

PO Box
San Diego, CA 92150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95028823CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prema Sai Medical, P.C. CurrentSince Jan 20, 2026 Accepting new patients
Mobile Care Medical Group, Inc CurrentSince Feb 4, 2026 Accepting new patients
Mobile Care Medical Group, Inc CurrentSince Feb 4, 2026 Accepting new patients

Locations

230 Prospect Pl
Ste 220
Coronado, CA 92118
Phone (559) 593-6450

1200 E Route 66
Ste 102
Glendora, CA 91740
Phone (213) 567-4520

3850 Smith St
Unit 3
Union City, CA 94587
Phone (213) 261-4978

Organizations & group practices 3

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": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1073322681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 CARMEL CREEK RD APT 366",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 CARMEL CREEK RD APT 366",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302809",
            "telephone_number": "619-248-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJAGI-BROWN",
        "first_name": "JACQUILINE",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.