Jennifer Velasco Stoddard, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95008089 Issued in CA

Practice address

1702 E Bolinger Cir
Orange, CA 92865-1756

Phone

(714) 925-7127

NPI assigned

Oct 16, 2017

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/5192cc27-2764-47df-a8de-8ad1cf29ade6/
• FHIR API: https://api.platform.athenahealth.com/21072/brand/1/csg/1/fhir/r4
• Direct secure messaging: jennifer.stoddard.1@21072.direct.athenahealth.com

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.

• Sharwin Tafazoli Inc

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
  • NPI 1447806278

  CA

  Medicare reassignment Care Compare group NPD
• California Kidney Specialists

  • Nephrology Physician
  • San Dimas, CA
  • NPI 1760497457
  Medicare reassignment NPD
• Care Connect Medical Group

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1134669971
  Medicare reassignment NPD
• Southern California Kidney Consultants Inc.

  • Nephrology Physician
  • Garden Grove, CA
  • NPI 1205934783
  Medicare reassignment NPD

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1588175772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 E BOLINGER CIR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 E BOLINGER CIR",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651756",
            "telephone_number": "714-925-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "JENNIFER",
        "middle_name": "VELASCO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Stirwalt
• Jill D. Stites, NP
• Russell Stitzlein, M.D.
• Amber Stober, MS, OTR/L
• Andrea Marilyn Stoddard
• Lyndsey Lauren Bell Stoffel, MSN, AGACNP-BC
• Milena Stohl
• Catherine Stolrow
• Tiffany Rosse Stonacek
• Olivia A Stoner-Cubos

• Family Nurse Practitioner in Orange, CA
• Providers in Orange, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.