Individual provider Active NPI

Jennifer Seguancia, NP-C

  • Family Nurse Practitioner
  • Corona, CA
National Provider Identifier
1285058073
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000323 Issued in CA
Practice address
2083 Compton Ave Ste 101
Corona, CA 92881-7283
Phone
(951) 898-8515
Fax
(951) 898-6209
NPI assigned
Feb 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 95000323 CA Primary

Addresses

Primary practice location

2083 Compton Ave Ste 101
Corona, CA 92881-7283

Mailing address

2083 Compton Ave Ste 101
Corona, CA 92881-7283
Phone (951) 898-8515

Other practice location 1

9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (951) 898-8515

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
I20230104001096 CA Practitioner - Nurse Practitioner 3072983246 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Ann Bogema DO Inc CurrentSince Nov 1, 2022 Accepting new patients
Slender Me Medical Weight Loss and Aesthetics Center Inc. Current Accepting new patients

Locations

9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376

2083 Compton Ave
Ste 203
Corona, CA 92881
Phone (951) 268-1001

2083 Compton Ave
Ste 101
Corona, CA 92881
Phone (951) 898-8515

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.

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1285058073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 COMPTON AVE STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817283",
            "telephone_number": "951-898-8515",
            "fax_number": "951-898-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 COMPTON AVE STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817283",
            "telephone_number": "951-898-8515",
            "fax_number": "951-898-6209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 N 91st St Ste A115",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585036",
            "country_code": "US",
            "telephone_number": "951-898-8515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGUANCIA",
        "first_name": "JENNIFER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.