Jee Jean Tolentino Dykheng, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Winnetka, CA
NPI 1386477115 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1386477115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 830158 (NV)
- Practice address
- 20260 Mobile St
Winnetka, CA 91306-4241 - Phone
- (818) 216-0761
- NPI assigned
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dynamic Medical Group LLC
Ares Advance Practice LLC
Practice addresses (Care Compare)
3841 W Charleston Blvd
Suite 202
Las Vegas, NV 89102-1858
Phone (702) 780-6868
5660 W Flamingo Rd
Suite B
Las Vegas, NV 89103-2312
Phone (702) 596-2188
Hospital & facility affiliations
- A Plus Home Health Systems, LLC
- Divine Careline Health LLC
- Lorian Health
- Active Home Healthcare LLC
- Palmeira Home Healthcare
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Divine Careline Health LLC |
Home health agency | W-2 Managing Employee | Jul 7, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241016001452 | NV | Practitioner - Nurse Practitioner | 7810429859 | Reassigns benefits to 2 organizations |
| I20241017000801 | CA | Practitioner - Nurse Practitioner | 7810429859 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Home Mobile Services Inc. | Current |
Accepting new patients | |
| Dynamic Medical Group LLC | Current |
Accepting new patients | |
| Beautiful Mind of Las Vegas LLC | Current |
Accepting new patients | |
| Ares Advance Practice LLC | Current |
Accepting new patients | |
| Divine Care Home Health Services Inc. | Current | Accepting new patients | |
| Osher Resources Inc | Current |
Accepting new patients | |
| Signify Health Medical Associates of California, PC | Current |
Accepting new patients | |
| Legacy Marketing Worldwide Inc. | Current |
Accepting new patients |
Locations
5015 Eagle Rock Blvd
Ste 200
Los Angeles, CA 90041
Phone (323) 455-4868
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
4795 Holt Blvd
Ste 205
Montclair, CA 91763
Phone (714) 496-5710
6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090
505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095
3841 W Charleston Blvd
Ste 202
Las Vegas, NV 89102
Phone (702) 623-7990
5660 W Flamingo Rd
Ste B
Las Vegas, NV 89103
Phone (702) 596-2188
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- jee.jean.dykheng.1@29107.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95032051 | CA | |
| Family Nurse Practitioner | 363LF0000X | 830158 | NV | Yes |
Addresses
Primary practice location
20260 Mobile St
Winnetka, CA 91306-4241
Mailing address
4134 Golden Fleece Ave
Las Vegas, NV 89141-9107
Phone (818) 216-0761
Other practice location 1
4134 Golden Fleece Ave
Las Vegas, NV 89141-9107
Phone (818) 216-0761
Other providers in Winnetka, CA
- Alyson Dodell
- Tina Donaldson
- Dr Lees Family Chiropractic & Acupuncture Apc
- Dr. Lee'S Family Chiropractic
- Silvia L Duarte-Ayala
- Edison Ishaya Dental
- Edmundo Ayala, D.D.S a Dental Corporation
- Edwin Papazian DDS Inc
- El Proyecto del Barrio, Inc.
- Elbrus Hospice Inc
All providers in Winnetka, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.