Jeffrey Contreras Sr., FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9502597 Issued in CA

Practice address

1293 6TH St
Coachella, CA 92236-1707

Phone

(760) 391-5151

Fax

(760) 391-5159

NPI assigned

Jun 21, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Coachella Valley Care Medical Associates Inc

  • Family Medicine Physician
  • Indio, CA
  • NPI 1811319890
  Medicare reassignment NPD
• Indio Emergency Medical Group Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Palm Desert, CA
  • NPI 1376766808
  Medicare reassignment NPD
• Indio Emergency Med Group Inc

  • Emergency Medicine Physician
  • Indio, CA
  • NPI 1326064759
  NPD
• Indio Emergency Medical Group

  • Family Medicine Physician
  • Coachella, CA
  • NPI 1649494733
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1083399430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80129 PEAK FOREST DR",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922034802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 6TH ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361707",
            "telephone_number": "760-391-5151",
            "fax_number": "760-391-5159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74000 Country Club Dr Ste J1",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922601679",
            "country_code": "US",
            "telephone_number": "760-541-5888",
            "fax_number": "760-391-5159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80129 Peak Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922034802",
            "country_code": "US",
            "telephone_number": "760-644-0574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79440 Corporate Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922537243",
            "country_code": "US",
            "telephone_number": "760-541-5888",
            "fax_number": "760-391-5159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81709 Dr Carreon Blvd Ste C3",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922015577",
            "country_code": "US",
            "telephone_number": "760-541-5888",
            "fax_number": "760-391-5159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "JEFFREY",
        "name_suffix": "Sr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "9502597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinicas de Salud del Pueblo, Inc
• Coachella Kidney Institute, LLC
• Coachella Valley Parents
• Coachella Valley Rehabilitation
• Janelle Colangelo, PA-C
• Prajedes Elena Corrales
• Jessica Cortez
• Stacy Cortez
• Gracie Cota, LMFT/APCC
• County of Riverside

• Family Nurse Practitioner in Coachella, CA
• Providers in Coachella, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.