Jeffrey Jagiello

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

12329 Breezewood Dr Apt 4
Whittier, CA 90604-3816

Phone

(818) 259-9921

NPI assigned

Nov 12, 2019

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 OR

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

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jagiello.jeffrey.p1@direct.dvmg.nextgenshare.com
• Direct secure messaging: jjagiello559185@direct.peacehealth.org

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.

• Peacehealth Medical Group

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1447207287
  Medicare reassignment
• Peacehealth Medical Group

  • Birthing Clinic/Center
  • Springfield, OR
  • NPI 1881860856
  NPD

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1710522941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12329 BREEZEWOOD DR APT 4",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906043816",
            "telephone_number": "818-259-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12329 BREEZEWOOD DR APT 4",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906043816",
            "telephone_number": "818-259-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGIELLO",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Frederick Jacobsen, MD
• Jordan Alan Jacobson, DC
• Jacqueline Surrency LLC
• Nereida M Jacquez
• Alireza Jafari, MD
• Jahangiri DDS Inc.
• Hossein Jahangiri, DDS
• Jaime Lopez, M.D., Inc.
• Amanda Lauren Jaimez
• Marian Jalil, M D

• Physician Assistant in Whittier, CA
• Providers in Whittier, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.