Individual provider Active NPI

Jacquelyn Hunter

  • Allergy & Immunology Physician
  • Mission Viejo, CA
National Provider Identifier
1629639406
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A196638 Issued in CA
Practice address
26726 Crown Valley Pkwy Ste 200
Mission Viejo, CA 92691-8003
Phone
(949) 364-4361
Fax
(949) 364-4495
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A196638 CA
Allergy & Immunology Physician 207K00000X A196638 CA Primary

Addresses

Primary practice location

26726 Crown Valley Pkwy Ste 200
Mission Viejo, CA 92691-8003

Mailing address

26726 Crown Valley Pkwy Ste 200
Mission Viejo, CA 92691-8003
Phone (949) 364-4361

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
I20241015000288 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 1759616964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Head and Neck Associates of Orange County an IncorprateGroup PAC ID 0547211518, 16 clinicians

Practice addresses (Care Compare)

26726 Crown Valley Pkwy
Suite 200
Mission Viejo, CA 92691-8003
Phone (949) 364-4361

Merit-based Incentive Payment System (MIPS)

Final score
38.02 of 100Reported as group
Improvement activities
0
Cost
76.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A196638CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Head and Neck Associates of Orange County an Incorprate CurrentSince Oct 1, 2024 Accepting new patients

Locations

18 Endeavor
Ste 208
Irvine, CA 92618
Phone (949) 276-4008

26726 Crown Valley Pkwy
Ste 200
Mission Viejo, CA 92691
Phone (949) 264-4361

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1629639406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918003",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918003",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "JACQUELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A196638",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A196638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.