Individual provider Active NPI

Jeniffer Santos Labog, FNP

  • Family Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1730909938
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032412 Issued in CA
Practice address
326 Santa Fe Dr Ste 105
Encinitas, CA 92024-5157
Phone
(760) 452-3340
NPI assigned
Oct 12, 2024
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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 95032412 CA Primary

Addresses

Primary practice location

326 Santa Fe Dr Ste 105
Encinitas, CA 92024-5157

Mailing address

PO Box 4062
Alameda, CA 94501-0401
Phone (559) 326-1222

Other practice location 1

838 Nordahl Rd Ste 300
San Marcos, CA 92069-3599
Phone (760) 747-8935

Other practice location 2

9850 Genesee Ave Ste 560
LA Jolla, CA 92037-1229
Phone (858) 552-1410

Other names 1

  • Jeniffer Porcia Santos Former name

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
I20250827001437 CA Practitioner - Nurse Practitioner 3870094410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 W Valley Pkwy
Suite 203
Escondido, CA 92025-2557
Phone (760) 796-3763

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Supportive Medical Specialists, a Medical Corporation CurrentSince May 12, 2025 Accepting new patients
RPM Medical Group CurrentSince Sep 15, 2025 Accepting new patients
I.B. Medical Aesthetiques & Wellness PC CurrentSince Dec 8, 2024 Accepting new patients
JRD Medical Group Past Accepting new patients

Locations

800 W Valley Pkwy
Ste 203
Escondido, CA 92025
Phone (760) 796-3763

438 E Katella Ave
Ste 226
Orange, CA 92867
Phone (760) 687-6968

1555 Palm Ave
Ste J2
San Diego, CA 92154
Phone (619) 490-3112

Organizations & group practices 4

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 1

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": "1728691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1730909938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4062",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945010401",
            "telephone_number": "559-326-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SANTA FE DR STE 105",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245157",
            "telephone_number": "760-452-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "838 Nordahl Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920693599",
            "country_code": "US",
            "telephone_number": "760-747-8935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9850 Genesee Ave Ste 560",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371229",
            "country_code": "US",
            "telephone_number": "858-552-1410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABOG",
        "first_name": "JENIFFER",
        "middle_name": "SANTOS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-12",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFFER",
            "last_name": "SANTOS",
            "middle_name": "PORCIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.