Individual provider Active NPI

Robin Kay Jaquez, NP

  • Family Nurse Practitioner
  • Palo Alto, CA
National Provider Identifier
1740366087
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
366304 Issued in CA
Practice address
195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073
Phone
(888) 731-8994
NPI assigned
Oct 30, 2006
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 366304 CA Primary

Addresses

Primary practice location

195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073

Mailing address

195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073
Phone (888) 731-8994

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
I20180914002429 CA Practitioner - Nurse Practitioner 1850523564 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
366304CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Plumas Health Care Home Health CurrentSince Jun 21, 2018 Accepting new patients
Eastern Plumas Health Care District CurrentSince Jun 21, 2018 Accepting new patients
Eastern Plumas Health Care District CurrentSince Dec 5, 2025 Accepting new patients
Eastern Plumas Health Care District Past Accepting new patients
Eastern Plumas Health Care District Past Accepting new patients
Sierra County Health Department Past Accepting new patients

Locations

480 1st Ave
Portola, CA 96122
Phone (530) 832-6600

500 1st Ave
Portola, CA 96122
Phone (530) 832-4277

Interoperability endpoints

  • Direct secure messaging: rjaquez@ephc.securechart.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1740366087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 PAGE MILL RD STE 103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062073",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 PAGE MILL RD STE 103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062073",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAQUEZ",
        "first_name": "ROBIN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-30",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "366304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.