Individual provider Active NPI

Jennifer Esther Yuriar, N.P.A

  • Family Nurse Practitioner
  • Gilroy, CA
National Provider Identifier
1326494469
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003498 Issued in CA
Practice address
7475 Camino Arroyo
Gilroy, CA 95020-7348
Phone
(408) 852-2209
NPI assigned
May 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 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 95003498 CA Primary

Addresses

Primary practice location

7475 Camino Arroyo
Gilroy, CA 95020-7348

Mailing address

370 Henderson Dr
San Jose, CA 95123-4413
Phone (408) 759-0312

Other names 1

  • Jennifer Esther Otero Former name

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
I20170330001211 CA Practitioner - Nurse Practitioner 6507141751 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95003498CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Feb 13, 2017 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Feb 13, 2017 Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

Organizations & group practices 4

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": "1462665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1326494469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HENDERSON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951234413",
            "telephone_number": "408-759-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 CAMINO ARROYO",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950207348",
            "telephone_number": "408-852-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURIAR",
        "first_name": "JENNIFER",
        "middle_name": "ESTHER",
        "credential": "N.P.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-08",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "OTERO",
            "middle_name": "ESTHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.