Charlotte Ann Jenkins, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95025124 Issued in CA

Practice address

3333 Concours Ste 4200
Ontario, CA 91764-6547

Phone

(909) 230-8930

NPI assigned

Nov 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADIEDD/Endpoint/ADIEDD

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.

• Jenkins Family Nursing Medical Practice, Inc

  • Health Service Clinic/Center
  • Ontario, CA
  • NPI 1679329080
  Medicare reassignment Authorized official
• Adobe PH Ca Medical Group, P.C.

  • Family Medicine Physician
  • Brea, CA
  • NPI 1427889195
  Medicare reassignment NPD

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1609177641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CONCOURS STE 4200",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917646547",
            "telephone_number": "480-600-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CONCOURS STE 4200",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917646547",
            "telephone_number": "909-230-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CHARLOTTE",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95025124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Jedlick
• Jazmyn Jefferson
• Sara Jefferson, PSYD
• Youngsen Jeng, DPM
• Jenkins Family Nursing Medical Practice, Inc
• Teana Jenkins
• Clarissa Danae Jennings
• Margaretha Handoko Jennings, MA CCC SLP
• Laurel Jensen, O.D.
• Diana Carolina Jerez

• Primary Care Nurse Practitioner in Ontario, CA
• Providers in Ontario, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.