Individual provider Active NPI

Jennifer Nicole Espinoza, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • San Pablo, CA
National Provider Identifier
1609425461
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012647 Issued in CA
Practice address
2023 Vale Rd
San Pablo, CA 94806-3834
Phone
(510) 231-9800
NPI assigned
Sep 4, 2019
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012647 CA Primary

Addresses

Primary practice location

2023 Vale Rd
San Pablo, CA 94806-3834

Mailing address

2023 Vale Rd
San Pablo, CA 94806-3834

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
I20191219000920 CA Practitioner - Nurse Practitioner 8123452422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2712 Augustine Dr
Suite 120
Santa Clara, CA 95054-2941
Phone (408) 780-2542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012647CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care CurrentSince Oct 19, 2019 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Jun 28, 2025 Accepting new patients
Lifelong Medical Care CurrentSince Oct 19, 2019 Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

3260 Sacramento St
Berkeley, CA 94702
Phone (510) 428-4500

1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206

5120 Cherry Ave
Ste 20
San Jose, CA 95118
Phone (408) 780-2532

2712 Augustine Dr
Ste 120
Santa Clara, CA 95054
Phone (408) 780-2542

Interoperability endpoints

  • Direct secure messaging: jespinoza185170@santaclaravalley.direct-ci.net

Organizations & group practices 3

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1609425461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 VALE RD",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 VALE RD",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063834",
            "telephone_number": "510-231-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

Verify at the official NPI Registry.