Active NPI
Jaedeleen Felizardo Duggan, MSN, FNP-C
- Family Nurse Practitioner
- Chino Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95023228
- Practice address
- 15325 Fairfield Ranch Rd Ste 150
Chino Hills, CA 91709-8842 - Phone
- (909) 557-1600
- NPI assigned
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95023228 | CA | Primary |
Addresses
Primary practice location
15325 Fairfield Ranch Rd Ste 150
Chino Hills, CA 91709-8842
Mailing address
15325 Fairfield Ranch Rd Ste 150
Chino Hills, CA 91709-8842
Phone (909) 557-1600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15325 Fairfield Ranch Rd
Suite 150
Chino Hills, CA 91709-8842
Phone (909) 557-1668
1901 W Lugonia Ave
Redlands, CA 92374-9703
Phone (909) 557-1600
400 N Pepper Ave
Arrowhead
Colton, CA 92324-1801
Phone (909) 580-3390
4234 Riverwalk Pkwy
Suite 200
Riverside, CA 92505-3312
Phone (951) 977-2500
Hospital & facility affiliations
- San Antonio Regional Hospital
- Riverside Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Medical Orthopaedic Group, Inc. | Current | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Current | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Past | Accepting new patients |
Locations
15325 Fairfield Ranch Rd
Ste 150
Chino Hills, CA 91709
Phone (909) 557-1668
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607
1801 Orange Tree Ln
Ste 240
Redlands, CA 92374
1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964
4500 Brockton Ave
Ste 306
Riverside, CA 92501
Phone (951) 275-9000
4234 Riverwalk Pkwy
Ste 200
Riverside, CA 92505
Phone (951) 977-2500
4500 Brockton Ave
Riverside, CA 92501
Phone (951) 742-8846
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1336187475
-
- Orthopaedic Surgery Physician
- Beaumont, CA
- NPI 1235964537
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1225239304
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696636800000",
"number": "1245933688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15325 FAIRFIELD RANCH RD STE 150",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917098842",
"telephone_number": "909-557-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15325 FAIRFIELD RANCH RD STE 150",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917098842",
"telephone_number": "909-557-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGAN",
"first_name": "JAEDELEEN",
"middle_name": "FELIZARDO",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-24",
"last_updated": "2023-10-07",
"certification_date": "2023-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95023228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; 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.