Individual provider Active NPI

S Janine Thorson, NP

  • Family Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1174613087
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP9781 Issued in CA
Practice address
31150 Temecula Pkwy Ste 200
Temecula, CA 92592-2921
Phone
(951) 676-4193
Fax
(951) 252-8668
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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 NP9781 CA Primary

Addresses

Primary practice location

31150 Temecula Pkwy Ste 200
Temecula, CA 92592-2921

Mailing address

28780 Single Oak Dr Ste 260
Temecula, CA 92590-5534
Phone (951) 676-4193

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
I20180502001190 CA Practitioner - Nurse Practitioner 5991971285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rancho Family Medical Group IncGroup PAC ID 6305741240, 112 clinicians

Practice addresses (Care Compare)

30420 Haun Rd
Menifee, CA 92584-6810
Phone (951) 676-4193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9781CAMDOccupational Therapist
NP9781CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Family Medical Group, Inc. CurrentSince Mar 24, 2018 Accepting new patients
Rincon Health Network PastSince May 18, 2025 Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
David J Butuk MD PA PastSince Nov 1, 2003 Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

30420 Haun Rd
Menifee, CA 92584

28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461

31170 Temecula Pkwy
Ste 201
Temecula, CA 92592
Phone (951) 677-0215

28780 Single Oak Dr
Ste 260
Temecula, CA 92590
Phone (951) 331-2200

31150 Temecula Pkwy
Ste 200
Temecula, CA 92592
Phone (951) 225-6827

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1174613087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28780 SINGLE OAK DR STE 260",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905534",
            "telephone_number": "951-676-4193",
            "fax_number": "951-252-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31150 TEMECULA PKWY STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922921",
            "telephone_number": "951-676-4193",
            "fax_number": "951-252-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSON",
        "first_name": "S",
        "middle_name": "JANINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP9781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.