Active NPI
Jacqueline Yeager, NP
- Family Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95004282
- Practice address
- 400 W 30TH St
Los Angeles, CA 90007-3320 - Phone
- (213) 284-3200
- NPI assigned
- Apr 28, 2016
- 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 | 95004282 | CA | Primary |
Addresses
Primary practice location
400 W 30TH St
Los Angeles, CA 90007-3320
Mailing address
35389 Marabella CT
Winchester, CA 92596-8478
Phone (626) 537-8347
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temecula Medical Corporation | Current | Accepting new patients | |
| The Roads Foundation, Inc. | Current | Accepting new patients |
Locations
121 S Long Beach Blvd
Compton, CA 90221
Phone (310) 627-5850
3737 Martin Luther King Jr Blvd
Ste 402
Lynwood, CA 90262
Phone (310) 609-3890
295 S Rancho Santa Fe Rd
San Marcos, CA 92078
Phone (760) 471-1111
41715 Winchester Rd
Ste 101
Temecula, CA 92590
Phone (858) 616-6400
41715 Winchester Rd
Ste 202
Temecula, CA 92590
Phone (951) 296-0788
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFCDAD
- jacqueline.yeagerrnp.p1@direct.plannedparenthoodla.nextgenshare.com
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Temecula, CA
- NPI 1922333723
-
- Community Health Clinic/Center
- Compton, CA
- NPI 1508278359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1487009288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35389 MARABELLA CT",
"city": "WINCHESTER",
"state": "CA",
"postal_code": "925968478",
"telephone_number": "626-537-8347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 30TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073320",
"telephone_number": "213-284-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEAGER",
"first_name": "JACQUELINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-28",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95004282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.