Individual provider Active NPI

Jacqueline Jones, FNP

  • Family Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1164289872
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018981 Issued in CA
Practice address
99 N la Cienega Blvd Ste 107
Beverly Hills, CA 90211-2283
Phone
(310) 652-0228
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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 95018981 CA Primary

Addresses

Primary practice location

99 N la Cienega Blvd Ste 107
Beverly Hills, CA 90211-2283

Mailing address

2019 19TH St
Santa Monica, CA 90404-7224
Phone (415) 302-4971

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
I20240809001079 CA Practitioner - Nurse Practitioner 0749727634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Nazemi M D IncGroup PAC ID 1456415405, 2 clinicians

Practice addresses (Care Compare)

350 S Beverly Dr
Suite 240
Beverly Hills, CA 90212-4818
Phone (310) 652-0228

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95018981CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Nazemi M D Inc CurrentSince Jul 1, 2024 Accepting new patients

Locations

350 S Beverly Dr
Ste 240
Beverly Hills, CA 90212
Phone (310) 652-0228

99 N La Cienega Blvd
Ste 107
Beverly Hills, CA 90211
Phone (310) 652-3000

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1164289872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 19TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904047224",
            "telephone_number": "415-302-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD STE 107",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112283",
            "telephone_number": "310-652-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JACQUELINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.