Jackeline Baciu, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95034467 Issued in CA

Practice address

7950 Cherry Ave Ste 105
Fontana, CA 92336-4023

Phone

(909) 434-1657

NPI assigned

May 24, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Imad Akel MD Inc

  • Pediatrics Physician
  • Fontana, CA
  • NPI 1902673726
  NPD
• Evangeline a. Gimbel, MD Inc.

  • Pediatrics Physician
  • Fontana, CA
  • NPI 1861839565
  NPD (past)

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

{
    "created_epoch": "1748044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1306639133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 CHERRY AVE STE 105",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 CHERRY AVE STE 105",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364023",
            "telephone_number": "909-434-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACIU",
        "first_name": "JACKELINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95034467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faramarz Azizi, MD
• Asal Azizoddin
• Uwa Comfort Kalu Azubuike
• B P L P a Pharmacy Corporation
• Truong Bach
• Karen Bae, PHARMD
• Karen J. Baghamian, MD
• Mark M. Bai, MD
• Emmanuel Kwame Baidoo Jr., D.O.
• Blake Edward Bailey

• Nurse Practitioner in Fontana, CA
• Providers in Fontana, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.