Individual provider Active NPI

Jan Marie D Ojacastro, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Norwalk, CA
National Provider Identifier
1336915693
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015371 Issued in CA
Practice address
12507 Alondra Blvd
Norwalk, CA 90650-7351
Phone
(562) 802-2203
NPI assigned
Nov 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 95015371 CA Primary

Addresses

Primary practice location

12507 Alondra Blvd
Norwalk, CA 90650-7351

Mailing address

12507 Alondra Blvd
Norwalk, CA 90650-7351
Phone (562) 802-2203

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
I20240329000399 CA Practitioner - Nurse Practitioner 8628416443 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lucita M Cruz MD Inc CurrentSince Mar 1, 2024 Accepting new patients

Locations

12507 Alondra Blvd
Norwalk, CA 90650
Phone (562) 802-2203

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJFCD/Endpoint/JIJFCD

Organizations & group practices 1

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": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1336915693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12507 ALONDRA BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507351",
            "telephone_number": "562-802-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12507 ALONDRA BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507351",
            "telephone_number": "562-802-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJACASTRO",
        "first_name": "JAN MARIE",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.