Individual provider Active NPI

Jacqueline Dulanto, MD

  • Internal Medicine Physician
  • Murrieta, CA
National Provider Identifier
1205567013
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A188602 Issued in CA
Practice address
39765 Date St Ste 102
Murrieta, CA 92563-2005
Phone
(951) 894-4665
Fax
(951) 894-5178
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A188602 CA Primary

Addresses

Primary practice location

39765 Date St Ste 102
Murrieta, CA 92563-2005

Mailing address

39765 Date St Ste 102
Murrieta, CA 92563-2005
Phone (951) 894-4665

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319003958 CA Practitioner - Internal Medicine 7416479340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temecula Valley Hospitalist Medical Group IncGroup PAC ID 8224252630, 26 clinicians
Healthcare Crossing CorporationGroup PAC ID 5294721197, 16 clinicians

Practice addresses (Care Compare)

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200

39765 Date St
Suite 102
Murrieta, CA 92563-2005
Phone (951) 894-4665

Hospital & facility affiliations

  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770
  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775
  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701
  • Hemet Global Medical Center Hospital, Hemet, CA, CCN 050390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A188602CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Crossing Corporation Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Temecula Valley Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Nov 3, 2025 Accepting new patients

Locations

39765 Date St
Ste 102
Murrieta, CA 92563

39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

Interoperability endpoints

  • Direct secure messaging: jdulanto305681@direct.llu.edu
  • Direct secure messaging: jacqueline.dulanto.1@27758.direct.athenahealth.com

Organizations & group practices 2

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 4

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1205567013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39765 DATE ST STE 102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632005",
            "telephone_number": "951-894-4665",
            "fax_number": "951-894-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39765 DATE ST STE 102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632005",
            "telephone_number": "951-894-4665",
            "fax_number": "951-894-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULANTO",
        "first_name": "JACQUELINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A188602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.