Individual provider Active NPI

Jamie Ann Rogers, NP

  • Family Nurse Practitioner
  • Menifee, CA
National Provider Identifier
1396081360
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1212225 Issued in CA
Practice address
29826 Haun Rd Ste 300
Menifee, CA 92586-6547
Phone
(951) 679-7022
Fax
(888) 379-6223
NPI assigned
Dec 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1212225 CA Primary

Addresses

Primary practice location

29826 Haun Rd Ste 300
Menifee, CA 92586-6547

Mailing address

1545 W Florida Ave
Hemet, CA 92543-3814
Phone (951) 791-1111

Other identifiers 1

IdentifierTypeStateIssuer
F1212225OtherCANP

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
I20230821003187 CA Practitioner - Nurse Practitioner 4688811748 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1212225CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mpac SMH of California PC CurrentSince Jul 5, 2023 Accepting new patients
Housecall Doctors Medical Group Inc CurrentSince Jul 5, 2023 Accepting new patients
Menifee Global Multi-Specialty Group Inc PastSince Nov 1, 2021 Accepting new patients

Locations

1980 Felicita Rd
Escondido, CA 92025
Phone (750) 741-6109

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

4681 Eagle Rock Blvd
Los Angeles, CA 90041
Phone (323) 257-8151

2351 Loveridge Rd
Pittsburg, CA 94565
Phone (925) 427-4444

600 E Washington Ave
Santa Ana, CA 92701
Phone (714) 973-1656

27600 Encanto Dr
Sun City, CA 92586
Phone (951) 679-6858

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1396081360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433814",
            "telephone_number": "951-791-1111",
            "fax_number": "888-856-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD STE 300",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866547",
            "telephone_number": "951-679-7022",
            "fax_number": "888-379-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JAMIE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F1212225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "F1212225",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.