Jacqueline Ischiu

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA58842 Issued in CA

Practice address

3838 Sherman Dr Ste 3
Riverside, CA 92503-4001

Phone

(951) 688-9800

NPI assigned

Nov 20, 2020

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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sharon Laughlin Inc

  • Legal Medicine
  • Riverside, CA
  • NPI 1437321155
  Medicare reassignment

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1407459365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N TOLAND AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902354",
            "telephone_number": "626-367-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SHERMAN DR STE 3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034001",
            "telephone_number": "951-688-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISCHIU",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA58842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Riverside",
            "affiliation": "N",
            "address_1": "3838 Sherman Dr Ste 3",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925034001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Robert Irwin
• Paula Michelle Irwin, MS, AMFT, APCC
• Stephanie Irwin, BCBA
• Izabella S. Isaac, MD
• Ivan Lee Philip Deluna Isagunde, NONE
• Salam Ghanim Ishak, M.D
• Saliba Ishaq, PHARMD
• Sandra Iskandar, MD
• Mirna Iskander
• Sherif Iskander, M.D.

• Family Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.

Verify at the official NPI Registry.