Individual provider Active NPI

Jacquiline Rances Jamora

  • Family Nurse Practitioner
  • Ontario, CA
National Provider Identifier
1215276456
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22447 Issued in CA
Practice address
1035 E Riverside Dr
Ontario, CA 91761-6842
Phone
(415) 734-1320
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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 22447 CA Primary

Addresses

Primary practice location

1035 E Riverside Dr
Ontario, CA 91761-6842

Mailing address

1035 E Riverside Dr
Ontario, CA 91761-6842
Phone (415) 734-1320

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
I20191119003046 CA Practitioner - Nurse Practitioner 5799018222 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Ca PC CurrentSince Sep 23, 2020 Accepting new patients
Kapiolani Nurse Practitioner, Inc Family CurrentSince Jun 8, 2025 Accepting new patients
Access Alliance Medical Group, Inc CurrentSince Sep 17, 2019 Accepting new patients

Locations

105 W Alameda Ave
Ste 210
Burbank, CA 91502
Phone (818) 588-3588

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

644 W Broadway
Ste 114
Glendale, CA 91204
Phone (818) 334-3858

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCCHAA/Endpoint/CCCHAA

Organizations & group practices 3

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1215276456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 E RIVERSIDE DR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917616842",
            "telephone_number": "415-734-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 E RIVERSIDE DR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917616842",
            "telephone_number": "415-734-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMORA",
        "first_name": "JACQUILINE",
        "middle_name": "RANCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.