Individual provider Active NPI

Preeti Jamarai

  • Nurse Practitioner
  • Fontana, CA
National Provider Identifier
1336922640
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95026766 Issued in CA
Practice address
6943 Tailwind LN
Fontana, CA 92336-5728
Phone
(909) 689-6809
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95026766 CA Primary

Addresses

Primary practice location

6943 Tailwind LN
Fontana, CA 92336-5728

Mailing address

6943 Tailwind LN
Fontana, CA 92336-5728
Phone (909) 689-6809

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
I20240321000094 CA Practitioner - Nurse Practitioner 5496105207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Clinic IncGroup PAC ID 2365710829, 2 clinicians

Practice addresses (Care Compare)

1350 W Covina Blvd
San Dimas, CA 91773-3245
Phone (909) 599-6811

309 W Beverly Blvd
Montebello, CA 90640-4308
Phone (323) 726-1222

910 S Sunset Ave
Suite 2
West Covina, CA 91790-3409
Phone (626) 859-4167

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Executive Home Health Care Inc CurrentSince Aug 27, 2023 Accepting new patients
Xinke Chen MD, Inc. CurrentSince Aug 8, 2025 Accepting new patients
Infectious Disease Clinic Inc CurrentSince Apr 12, 2025 Accepting new patients
Minghsun Liu, M.D., PC Past Accepting new patients
Catalin Nicola MD. Inc Past Accepting new patients

Locations

482 Corona Mall
Corona, CA 92879
Phone (951) 549-9791

216 S Citrus St
West Covina, CA 91791
Phone (626) 348-4239

910 S Sunset Ave
Ste 2
West Covina, CA 91790
Phone (626) 859-4167

Interoperability endpoints

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

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1336922640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6943 TAILWIND LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365728",
            "telephone_number": "909-689-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6943 TAILWIND LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365728",
            "telephone_number": "909-689-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMARAI",
        "first_name": "PREETI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95026766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.