Individual provider Active NPI

Jocelyn Sampedro, MSN RNP

  • Nurse Practitioner
  • Downey, CA
National Provider Identifier
1760539316
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R401038 Issued in CA
Practice address
8317 Davis St
Suite a
Downey, CA 90241-4918
Phone
(562) 869-1511
Fax
(562) 869-0771
NPI assigned
Jan 5, 2007
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R401038 CA Primary

Addresses

Primary practice location

8317 Davis St
Suite a
Downey, CA 90241-4918

Mailing address

8317 Davis St
Suite a
Downey, CA 90241-4918
Phone (562) 869-1511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsampedro@cvma.care

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
I20100820001039 CA Practitioner - Nurse Practitioner 4880728195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaushal R Tamboli MD IncGroup PAC ID 2365473295, 4 clinicians

Practice addresses (Care Compare)

8317 Davis St
Suite a
Downey, CA 90241-4918
Phone (562) 869-1511

8317 Davis St a
Downey, CA 90241-4918

Merit-based Incentive Payment System (MIPS)

Final score
97.59 of 100Reported as group
Quality
75.18
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10351CAMDOccupational Therapist
R401038CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaushal R Tamboli MD Inc Current Accepting new patients

Locations

11480 Brookshire Ave
Ste 307
Downey, CA 90241
Phone (562) 869-1511

8317 Davis St
Apt A
Downey, CA 90241
Phone (562) 869-1511

3628 E Imperial Hwy
Ste 201
Lynwood, CA 90262
Phone (310) 406-3900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: admin@cvma-inc.e-mdsdirect.com

Organizations & group practices 1

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1760539316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 DAVIS ST",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414918",
            "telephone_number": "562-869-1511",
            "fax_number": "562-869-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8317 DAVIS ST",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414918",
            "telephone_number": "562-869-1511",
            "fax_number": "562-869-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPEDRO",
        "first_name": "JOCELYN",
        "credential": "MSN RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "R401038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsampedro@cvma.care",
            "affiliation": "N",
            "address_1": "8317 Davis St",
            "address_2": "SUITE A",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902414918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.