Jennifer Josephine D'Sa, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A122614 Issued in CA

Practice address

17500 Foothill Blvd
#A-2
Fontana, CA 92335-3798

Phone

(909) 428-0170

Fax

(877) 778-9312

NPI assigned

Jul 7, 2009

Last updated

Sep 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lasalle Medical AssociatesGroup PAC ID 1557301744, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Lasalle Medical Associates

  • Multi-Specialty Clinic/Center
  • Fontana, CA
  • NPI 1275661084
  Medicare reassignment Care Compare group NPD
• Lasalle Medical Associates

  • Multi-Specialty Clinic/Center
  • Rialto, CA
  • NPI 1881150290
  NPD

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1750510251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "909-428-0170",
            "fax_number": "877-778-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 FOOTHILL BLVD",
            "address_2": "#A-2",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353798",
            "telephone_number": "909-428-0170",
            "fax_number": "877-778-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'SA",
        "first_name": "JENNIFER",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A122614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-FONTANA",
            "identifier": "P01282961/DU4034",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Currie, CRNA
• Edward S. Curry, MD
• Maria Cutler
• John E. D'Abreo, MD
• Emory D'Aquila
• Steven John D'Sa, M.D.
• John M D'Spain, PA
• Ariba Dadabhoy
• Daisy Springs, LLC
• Natalie D Dale, PA

• Family Medicine Physician in Fontana, CA
• Providers in Fontana, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.