Jennifer Tabucan Pineda, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

581303 Issued in CA

Practice address

12124 Bullis Rd Ste B104
Lynwood, CA 90262-5106

Phone

(562) 867-7999

NPI assigned

Jul 20, 2011

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

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shrikant Tamhane DO IncGroup PAC ID 3971841206, 5 clinicians

The Roads Foundation, IncGroup PAC ID 2961722558, 57 clinicians

Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital of Gardena Hospital, Gardena, CA, CCN 050468
• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
• Coast Plaza Hospital Hospital, Norwalk, CA, CCN 050771

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAD
• Direct secure messaging: jennifer.pinedanp.p1@direct.jwch.nextgenshare.com

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.

• Torrance Health Association Inc

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1083903124
  Medicare reassignment Care Compare group NPD
• Shrikant Tamhane DO Inc

  • Family Medicine Physician
  • Carson, CA
  • NPI 1295202901
  Medicare reassignment Care Compare group
• The Roads Foundation, Inc

  • Clinic/Center
  • Long Beach, CA
  • NPI 1669812392
  Medicare reassignment Care Compare group
• Nightingale Clinical Care, PC

  • Primary Care Clinic/Center
  • Riverside, CA
  • NPI 1972159069
  Medicare reassignment NPD
• The Roads Foundation, Inc.

  • Community Health Clinic/Center
  • Compton, CA
  • NPI 1508278359
  NPD

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

• CPH Hospital Management LLC

  • General Acute Care Hospital
  • Norwalk, CA
  • NPI 1194016923
  Care Compare affiliation
• CPH Hospital Management LLC

  • Psychiatric Hospital Unit
  • Norwalk, CA
  • NPI 1952012379
  Care Compare affiliation
• Gardena Hospital LP

  • General Acute Care Hospital
  • Gardena, CA
  • NPI 1063412005
  Care Compare affiliation
• Southern California Healthcare System, Inc

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  Care Compare affiliation
• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1346538592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22801 SHELL DR",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907454743",
            "telephone_number": "310-819-0854",
            "fax_number": "310-513-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12124 BULLIS RD STE B104",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902625106",
            "telephone_number": "562-867-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "JENNIFER",
        "middle_name": "TABUCAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "581303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimetha Laurie Petteway-Turner, LMFT
• Susan Pham
• Pharmedquest Pharmacy Services
• Andrea C Phillips, REG INTERN # 63262
• Carrie Pickinpaugh
• Piyush Karia DDS Inc
• Cynthia Plascencia
• Donald Plong, MS, PA-C
• Sophia Marie Plotkin
• Yevgeniya Pokhylko, CCC-SLP

• Family Nurse Practitioner in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.