Emma Jeddi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95033377 Issued in CA

Practice address

1820 Fullerton Ave Ste 120
Corona, CA 92881-3100

Phone

(951) 371-9500

NPI assigned

Dec 20, 2024

Sex

Female

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alessandro Medical Professional CorporationGroup PAC ID 5698905438, 15 clinicians

Dr. Javier Rios, a Medical CorporationGroup PAC ID 4183892508, 16 clinicians

Javier R Rios MD a Professional CorporationGroup PAC ID 5294785630, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Alessandro Medical Professional Corporation

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1881941409
  Medicare reassignment Care Compare group NPD
• Dr. Javier Rios, a Medical Corporation

  • Family Medicine Physician
  • Lake Elsinore, CA
  • NPI 1598291015
  Medicare reassignment Care Compare group NPD
• Javier R Rios MD, a Professional Corporation

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1235138363
  Medicare reassignment Care Compare group NPD
• Montclair Medical Professional Corporation

  • Family Medicine Physician
  • Montclair, CA
  • NPI 1972955730
  Medicare reassignment NPD
• Alessandro Medical Professional Corporation

  • Family Medicine Physician
  • Corona, CA
  • NPI 1184265183
  NPD
• Dr. Javier Rios, a Medical Corporation

  • Family Medicine Physician
  • Lake Elsinore, CA
  • NPI 1033418785
  NPD
• Dr. Javier Rios, a Medical Corporation

  • Family Medicine Physician
  • Morongo Valley, CA
  • NPI 1063387538
  NPD
• Javier R. Rios MD a Professional Corporation

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1841023801
  NPD
• Dr. Javier Rios a Medical Corporation

  • Family Medicine Physician
  • Indio, CA
  • NPI 1205405974
  NPD (past)
• Dr. Javier Rios a Medical Corporation

  • Family Medicine Physician
  • Perris, CA
  • NPI 1942631460
  NPD (past)
• Faro T. Owiesy, M.D., Inc

  • Family Medicine Physician
  • Corona, CA
  • NPI 1891724886
  NPD (past)

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1083422158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 120",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813100",
            "telephone_number": "951-371-9500",
            "fax_number": "951-371-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 120",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813100",
            "telephone_number": "951-371-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDDI",
        "first_name": "EMMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandrra Jaranilla
• Jasmine K. Leong M.D. Professional Corp.
• Jason Lam O.D., M.B.a., Inc.
• Amanda Jayasekara
• Mladen Jecmenica, M.D.
• Lauryn Jefferson
• Jeffrey Boyd Inc.
• Jeffrey H. Katz, D.P.M., Inc.
• Eleanore Jehung
• Jenee Lee OD Professional Corporation

• Family Nurse Practitioner in Corona, CA
• Providers in Corona, 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 Dec 20, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.