Individual provider Active NPI

Jessica Ann Riley, DO

  • Dermatology Physician
  • San Clemente, CA
National Provider Identifier
1548677438
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A16345 Issued in CA
Practice address
1300 Avenida Vista Hermosa Ste 150
San Clemente, CA 92673
Phone
(949) 489-4290
Fax
(949) 489-4293
NPI assigned
Jul 13, 2014
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20A16345 CA Primary

Addresses

Primary practice location

1300 Avenida Vista Hermosa Ste 150
San Clemente, CA 92673

Mailing address

2285 Corporate Cir
Ste 200
Henderson, NV 89074-7759
Phone (702) 360-2763

Other practice location 1

5333 McAuley Dr
Suite 5003
Ypsilanti, MI 48197-1014
Phone (734) 712-5015

Other practice location 2

477 N El Camino Real Ste D308
Encinitas, CA 92024-1370
Phone (760) 436-2300

Other names 1

  • Jessica Ann Schweitzer Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190128003426 CA Practitioner - Dermatology 2769798602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Western University of Health Sciences College of Dental Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

1300 Avenida Vista Hermosa
Suite 150
San Clemente, CA 92673-6339
Phone (949) 489-4290

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision74
Removal of skin lesions695
Removal or shaving of skin growth27
Skin biopsy542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A16345CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc Dermatology CurrentSince Oct 1, 2018 Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients

Locations

6010 Hidden Valley Rd
Ste 120
Carlsbad, CA 92011
Phone (760) 448-4484

477 N El Camino Real
Ste D308
Encinitas, CA 92024
Phone (760) 436-2300

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

1300 Avenida Vista Hermosa
Ste 150
San Clemente, CA 92673
Phone (949) 361-6623

4060 4th Ave
Ste 415
San Diego, CA 92103
Phone (619) 298-9808

9095 Rio San Diego Dr
Ste 300
San Diego, CA 92108
Phone (619) 298-9809

9339 Genesee Ave
Ste 350
San Diego, CA 92121
Phone (858) 454-4300

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1548677438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 CORPORATE CIR",
            "address_2": "STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747759",
            "telephone_number": "702-360-2763",
            "fax_number": "949-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 AVENIDA VISTA HERMOSA STE 150",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92673",
            "telephone_number": "949-489-4290",
            "fax_number": "949-489-4293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5333 McAuley Dr",
            "address_2": "Suite 5003",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971014",
            "country_code": "US",
            "telephone_number": "734-712-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "477 N El Camino Real Ste D308",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920241370",
            "country_code": "US",
            "telephone_number": "760-436-2300",
            "fax_number": "760-436-5482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A16345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SCHWEITZER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

Verify at the official NPI Registry.