Individual provider Active NPI

Jenna Abeloe, NP

  • Acute Care Nurse Practitioner
  • Ventura, CA
National Provider Identifier
1679090393
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95007182 Issued in CA
Practice address
6633 Telephone Rd Ste 150
Ventura, CA 93003-0713
Phone
(805) 644-9121
NPI assigned
Aug 23, 2017
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95007182 CA Primary

Addresses

Primary practice location

6633 Telephone Rd Ste 150
Ventura, CA 93003-0713

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

168 N Brent St Ste 408
Ventura, CA 93003-2824
Phone (805) 643-2179

Other practice location 2

26585 Agoura Rd Ste 330
Calabasas, CA 91302-1958
Phone (310) 319-3475

Other practice location 3

100 Moody Ct Ste 200
Thousand Oaks, CA 91360-6082
Phone (310) 319-3475

Other practice location 4

1131 Wilshire Blvd Ste 100
Santa Monica, CA 90401-2072
Phone (310) 319-3475

Other practice location 5

1250 La Venta Dr Ste 211
Westlake Village, CA 91361-3764
Phone (805) 494-6920

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
I20171206001408 CA Practitioner - Nurse Practitioner 9830456458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6633 Telephone Rd
Ventura, CA 93003-5569

757 Westwood PLZ
Los Angeles, CA 90095-8358

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.91 of 100Reported as group
Quality
68.73
Promoting interoperability
100
Improvement activities
40
Cost
63.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007182CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Nov 1, 2020 Accepting new patients
The Regents of the University of California CurrentSince Nov 1, 2020 Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

26585 Agoura Rd
Ste 330
Calabasas, CA 91302
Phone (818) 461-3321

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

File 54206
Los Angeles, CA 90074

1131 Wilshire Blvd
Ste 100
Santa Monica, CA 90401
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

6633 Telephone Rd
Ste 150
Ventura, CA 93003
Phone (805) 256-3831

1250 La Venta Dr
Ste 211
Westlake Vlg, CA 91361
Phone (805) 494-6920

Interoperability endpoints

  • Direct secure messaging: jabeloe828818@direct.uclahealth.org

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1679090393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 TELEPHONE RD STE 150",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930030713",
            "telephone_number": "805-644-9121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 N Brent St Ste 408",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930032824",
            "country_code": "US",
            "telephone_number": "805-643-2179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26585 Agoura Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021958",
            "country_code": "US",
            "telephone_number": "310-319-3475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Moody Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913606082",
            "country_code": "US",
            "telephone_number": "310-319-3475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1131 Wilshire Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904012072",
            "country_code": "US",
            "telephone_number": "310-319-3475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 La Venta Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913613764",
            "country_code": "US",
            "telephone_number": "805-494-6920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABELOE",
        "first_name": "JENNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95007182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.