Jillaine Smasal-Kwak

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9357 Issued in CA

Practice address

451 Riverview Pkwy
Santee, CA 92071-5829

Phone

(619) 494-1443

NPI assigned

Jan 13, 2008

Last updated

Mar 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Merit-based Incentive Payment System (MIPS)

Final score

80.12 of 100Reported as group

Quality

75.08

Improvement activities

40

Cost

79.41

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minuteclinic Diagnostic Medical Group of San Diego Inc

  • Family Nurse Practitioner
  • El Cajon, CA
  • NPI 1568659233
  Medicare reassignment NPD

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

{
    "created_epoch": "1200182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1215113998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 EXECUTIVE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212123",
            "telephone_number": "619-494-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 RIVERVIEW PKWY",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715829",
            "telephone_number": "619-494-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMASAL-KWAK",
        "first_name": "JILLAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "9357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Siaumau, PMHNP
• Ruth V Sigler, LCSW
• Flora Cruz Sison, RN
• SJC Management & Consulting Corp (Phillips Ranch Pharmacy)
• Jamie Lynn Skinner
• Smit a. Patel O.D., and Irene Gendelman O.D., Apoc (Santee Family Optometry)
• Margaret Lisa Elizabeth Smith, OTR
• Somagen Healthcare Inc (AFC Urgent Care San Diego)
• Cynthia Soriano
• Mark Vincent Sormillon, RN

• Family Nurse Practitioner in Santee, CA
• Providers in Santee, 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 13, 2025; 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.