Individual provider Active NPI

Jacqueline Turner

  • Nurse Practitioner
  • Hesperia, CA
National Provider Identifier
1366884520
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6420 Issued in CA
Practice address
15791 Bear Valley Rd
Hesperia, CA 92345-1746
Phone
(760) 949-1231
NPI assigned
Jul 29, 2013
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14895 CA
Nurse Practitioner 363L00000X 6420 CA Primary

Addresses

Primary practice location

15791 Bear Valley Rd
Hesperia, CA 92345-1746

Mailing address

4195 Chino Hills Pkwy # 167
Chino Hills, CA 91709-2618

Other practice location 1

4195 Chino Hills Pkwy # 167
Chino Hills, CA 91709-2618
Phone (909) 373-6649

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
I20250314000155 CA Practitioner - Physician Assistant 9931621414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Southern California Keck School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

20201 Rinaldi St
Suite 110
Northridge, CA 91326-4938
Phone (747) 444-4901

215 N Allen Ave
Pasadena, CA 91106-1601
Phone (626) 817-9002

245 Terracina Blvd
Suite 102
Redlands, CA 92373-4865
Phone (909) 406-2671

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

4623 Eagle Rock Blvd
Los Angeles, CA 90041-3049
Phone (213) 878-5700

5101 Lakewood Blvd
Lakewood, CA 90712-2413
Phone (562) 800-3883

5717 Melrose Ave
Los Angeles, CA 90038-3807
Phone (323) 957-2273

600 S Lake Ave
Suite 105
Pasadena, CA 91106-3955
Phone (626) 844-8848

7000 Boulder Ave
Suite 103
Highland, CA 92346-3348
Phone (515) 441-6271

701 N Wendy Dr
Newbury Park, CA 91320-3066
Phone (805) 375-4400

7077 Willoughby Ave
Suite 3
Los Angeles, CA 90038-2396
Phone (323) 826-5333

797 S Fair Oaks Ave
Suite 100
Pasadena, CA 91105-2617
Phone (626) 385-1455

8000 W Sunset Blvd
Suite C110
Los Angeles, CA 90046-2439
Phone (213) 412-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14895CAMDAddiction (Substance Use Disorder) Counselor
PA14895CAMDPhysician Assistant
6420CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr, Mikel Walk in Clinic Past Accepting new patients

Organizations & group practices 2

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1366884520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 CHINO HILLS PKWY # 167",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15791 BEAR VALLEY RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451746",
            "telephone_number": "760-949-1231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4195 Chino Hills Pkwy # 167",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917092618",
            "country_code": "US",
            "telephone_number": "909-373-6649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14895",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "6420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

Verify at the official NPI Registry.