Jonathan Adam Abejar, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95030453 Issued in CA

Practice address

72757 Fred Waring Dr Ste 1
Palm Desert, CA 92260-9404

Phone

(760) 340-5800

NPI assigned

Jun 20, 2024

Sex

Male

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Wound Solutions IncGroup PAC ID 0446758858, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Innovative Wound Solutions Inc

  • Health Service Clinic/Center
  • Temecula, CA
  • NPI 1194517482
  Medicare reassignment Care Compare group NPD
• Desert Mirage Hospice, LLC

  • Community Based Hospice Care Agency
  • Cathedral City, CA
  • NPI 1568128304
  NPD Authorized official
• Ardent Nexus, Inc

  • Family Medicine Physician
  • Corona, CA
  • NPI 1043166051
  NPD (past)

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1699519140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 TUCSON CIR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922118221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72757 FRED WARING DR STE 1",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609404",
            "telephone_number": "760-340-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEJAR",
        "first_name": "JONATHAN",
        "middle_name": "ADAM",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Gregory Caruso MD Inc (Sunlife Medical Group)
• A. Conde Dental Corporation
• Aaron S Bean DPM Inc (West Coast Foot and Ankle Center)
• Shanon Suzanne Aarup
• Ernesto C Abadilla Jr., DDS
• Mackenna Abelon
• Able Health Group, LLC (Able Hospice, Inc)
• Able Health Group, LLC (Able Hospice, Inc)
• Vanessa Ann Abraham, SLP
• Access Medical, Inc.

• Family Nurse Practitioner in Palm Desert, CA
• Providers in Palm Desert, 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 Jun 20, 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.
• 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.