Active NPI
Jamie Ann Rogers, NP
- Family Nurse Practitioner
- Menifee, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1212225
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1212225 | Other | CA | NP |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1212225 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mpac SMH of California PC | Current | Accepting new patients | |
| Housecall Doctors Medical Group Inc | Current | Accepting new patients | |
| Menifee Global Multi-Specialty Group Inc | Past | 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Long Beach, CA
- NPI 1033164017
-
- Family Medicine Physician
- Hemet, CA
- NPI 1932110632
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.