Active NPI
Jaclyn Ann Aldana, PAC
- Physician Assistant
- Temecula, CA
National Provider Identifier
1417465139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 31515 Rancho Pueblo Rd Ste 203
Temecula, CA 92592-4837 - Phone
- (951) 303-1500
- NPI assigned
- Jan 16, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
31515 Rancho Pueblo Rd Ste 203
Temecula, CA 92592-4837
Mailing address
31515 Rancho Pueblo Rd Ste 203
Temecula, CA 92592-4837
Phone (951) 303-1500
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55240 | CA | MD | Pharmacist |
Interoperability endpoints
- jaclynmiramontez@skmm.allscriptsdirect.net
- jaclyn.aldana.p43@direct.aara1.nextgenshare.com
Organizations & group practices 1
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.
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- NPI 1033296231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1417465139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31515 RANCHO PUEBLO RD STE 203",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925924837",
"telephone_number": "951-303-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31515 RANCHO PUEBLO RD STE 203",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925924837",
"telephone_number": "951-303-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDANA",
"first_name": "JACLYN",
"middle_name": "ANN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.