Jeanette Nicole Pilliner, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A72590 Issued in CA

Practice address

729 Hudspeth St
Simi Valley, CA 93065-5505

Phone

(323) 253-5317

NPI assigned

Feb 22, 2007

Last updated

Jan 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169
  Medicare reassignment NPD
• Providence Facey Medical Foundation

  dba Providence Express Care

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1891348447
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1770618605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18309 LAKEPOINTE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925030253",
            "telephone_number": "323-253-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 HUDSPETH ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655505",
            "telephone_number": "323-253-5317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17909 Soledad Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Canyon Country",
            "state": "CA",
            "postal_code": "913873210",
            "country_code": "US",
            "telephone_number": "661-250-5225 x4268",
            "fax_number": "661-250-5290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PILLINER",
        "first_name": "JEANETTE",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A72590",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A72590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID",
            "identifier": "W11698",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70436F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP70436F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A725900",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EAP70436F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mylah Buenaventura Picache, OTR
• Lisa Cristine Pierce
• James A. Pierre Jr., MD, MPH
• Lena Pierson, LMFT
• Christa Terese Pillado, LVN
• Pillpack LLC (Amazon Pharmacy #034)
• Alma Pilotzi
• Mirna Pina
• Eileen M Pirtle
• Pitacle Fairy Incorporated (Free Motion Pilates & Therapeutics)

• Pediatrics Physician in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.