Individual provider Active NPI

Jessica Ann Gately, FNP

  • Family Nurse Practitioner
  • La Verne, CA
National Provider Identifier
1336900372
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95248834 Issued in CA
Practice address
2333 Foothill Blvd Ste B
La Verne, CA 91750-3027
Phone
(909) 392-6501
Fax
(909) 469-2136
NPI assigned
Jan 17, 2024
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 95248834 CA Primary

Addresses

Primary practice location

2333 Foothill Blvd Ste B
La Verne, CA 91750-3027

Mailing address

2333 Foothill Blvd Ste B
La Verne, CA 91750-3027
Phone (909) 392-6501

Other practice location 1

560 S San Jose Ave
Covina, CA 91723-3144
Phone (626) 966-1577

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
I20240924003670 CA Practitioner - Nurse Practitioner 5698216174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2140 Grand Ave
Suite 125
Chino Hills, CA 91709-6802
Phone (909) 630-7875

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95248834CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc Current Accepting new patients
Premier Family Medicine Associates, Inc CurrentSince Oct 1, 2024 Accepting new patients
Premier Family Medicine Associates, Inc PastSince Oct 1, 2024 Accepting new patients
Center for Integrated Family and Health Services PastSince Jan 1, 2024 Accepting new patients
Center for Integrated Family and Health Services PastSince Jan 1, 2024 Accepting new patients

Locations

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

1601 Monte Vista Ave
Ste 260
Claremont, CA 91711
Phone (909) 450-1571

2333 Foothill Blvd
La Verne, CA 91750
Phone (909) 392-6501

2333 Foothill Blvd
Ste B
La Verne, CA 91750
Phone (909) 392-6501

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1336900372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 FOOTHILL BLVD STE B",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503027",
            "telephone_number": "909-392-6501",
            "fax_number": "909-469-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 FOOTHILL BLVD STE B",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503027",
            "telephone_number": "909-392-6501",
            "fax_number": "909-469-2136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 S San Jose Ave",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917233144",
            "country_code": "US",
            "telephone_number": "626-966-1577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATELY",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95248834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

Verify at the official NPI Registry.