Individual provider Active NPI

Jaclyn Ann Aldana, PAC

  • Physician Assistant
  • Temecula, CA
National Provider Identifier
1417465139
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119004490 CA Practitioner - Physician Assistant 1052748902 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55240CAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: jaclynmiramontez@skmm.allscriptsdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.