Jacqueline Marie Capaldi, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95021710 Issued in CA

Practice address

267 W Hillcrest Dr
Thousand Oaks, CA 91360-4211

Phone

(805) 497-1694

Fax

(805) 373-7493

NPI assigned

Nov 3, 2022

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 4

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology - Pacific, P.C.Group PAC ID 8325946015, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacqueline.capaldi@ffdwest.emadirect.md

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.

• Forefront Dermatology - Pacific, P.C.

  dba Forefront Dermatology

  • Dermatology Physician
  • Thousand Oaks, CA
  • NPI 1356535009
  Medicare reassignment Care Compare group NPD
• Forefront Dermatology - Pacific, P.C.

  dba SkinPhysicians & Surgeons, A Forefront Dermatology Practice

  • Dermatology Physician
  • Upland, CA
  • NPI 1487480448
  NPD
• Forefront Dermatology - Pacific, P.C.

  dba Kalia Dermatology & Laser Center, A Forefront Dermatology Practice

  • Dermatology Physician
  • Los Gatos, CA
  • NPI 1861121741
  NPD (past)

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1366159741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 W HILLCREST DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604211",
            "telephone_number": "805-497-1694",
            "fax_number": "805-373-7493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "956 Crown Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930634782",
            "country_code": "US",
            "telephone_number": "805-551-5984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 W Mission St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931012899",
            "country_code": "US",
            "telephone_number": "805-682-7874",
            "fax_number": "805-682-7875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5565 Carpinteria Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Carpinteria",
            "state": "CA",
            "postal_code": "930131446",
            "country_code": "US",
            "telephone_number": "805-745-1013",
            "fax_number": "805-364-4817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPALDI",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95021710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA BOARD OF REGISTERED NURSING- NURSE PRACTITONER",
            "identifier": "NP95021710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA BOARD OF REGISTERED NURSING- NP FURNISHING NUMBER",
            "identifier": "NPF95021710",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaccapaldi@g.ucla.edu",
            "affiliation": "N",
            "address_1": "956 Crown Hill Dr",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930634782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jacqueline.Capaldi@ffdwest.emadirect.md",
            "affiliation": "N",
            "address_1": "5565 Carpinteria Ave Ste 3",
            "city": "Carpinteria",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930131446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jacqueline.Capaldi@ffdwest.emadirect.md",
            "affiliation": "N",
            "address_1": "105 W Mission St",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931012899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jacqueline.Capaldi@ffdwest.emadirect.md",
            "affiliation": "N",
            "address_1": "267 W Hillcrest Dr",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913604211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leslie Arianna Campos
• Oscar Cancino
• Joshua Ubaldo Canjura
• John Patrick Santos Canlas, PT, DPT, SCS
• Trevor Canty
• Sara M. Capella, M.S.
• Anthony Capparelli, M.D.
• Kimberley Kristen Caputo, MD
• Lester Carachure, MD
• Ioana Caranica

• Family Nurse Practitioner in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Aug 14, 2024; 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.