Jennifer Obana, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95006472 Issued in CA

Practice address

8765 Aero Dr Ste 130
San Diego, CA 92123-1767

Phone

(858) 541-0181

NPI assigned

Jul 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

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

Interoperability endpoints

• Direct secure messaging: jobana32487@sharphealthcare.direct-ci.com

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.

• Focus on Health Inc

  • General Practice Physician
  • San Diego, CA
  • NPI 1497450530
  Medicare reassignment NPD
• Ken Roth MD & Rolf Ehlers MD San Diego Internal Medicine Assoc

  • Adolescent Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1578657383
  Medicare reassignment NPD
• San Diego Hospitalist Associates Inc

  • Hospitalist Physician
  • San Diego, CA
  • NPI 1689992125
  NPD (past)

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114368628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 AERO DR",
            "address_2": "STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231767",
            "telephone_number": "858-541-0181",
            "fax_number": "858-637-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 AERO DR STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231767",
            "telephone_number": "858-541-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "PA",
            "postal_code": "180671221",
            "country_code": "US",
            "telephone_number": "610-261-0999",
            "fax_number": "610-261-2187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBANA",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95022822",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN654334",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013818",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwight Allen Oates, DDS
• Mairen Lee Oates
• Aaliyah Oatts
• Jaelyn May Fernandez Obana
• Jaye Fernandez Obana, RN
• Jessica Marie Obana, LCSW
• Augustine I Obasi
• Iloegbe Angela Obasogie, RN
• Mary L. Obata, M.A.
• David Obaytek, CMT

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, 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 17, 2018; 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.