Individual provider Active NPI

Jennifer Chiriano

  • Family Nurse Practitioner
  • San Jacinto, CA
National Provider Identifier
1801426465
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95012842 Issued in CA
Practice address
1695 S San Jacinto Ave Ste a-D&F
San Jacinto, CA 92583-5103
Phone
(951) 330-3100
Fax
(951) 350-1050
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 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 NP95012842 CA Primary

Addresses

Primary practice location

1695 S San Jacinto Ave Ste a-D&F
San Jacinto, CA 92583-5103

Mailing address

1695 S San Jacinto Ave Ste a-D&F
San Jacinto, CA 92583-5103
Phone (951) 330-3100

Other practice location 1

7065 Indiana Ave Ste 100&110
Riverside, CA 92506-4167
Phone (951) 476-0115

Other practice location 2

1133 N Palm Canyon Dr Ste A
Palm Springs, CA 92262-4431
Phone (760) 320-8005

Other practice location 3

12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Phone (760) 684-4143

Other practice location 4

12830 Hesperia Rd Ste a-D
Victorville, CA 92395-7788
Phone (760) 684-8999

Other practice location 5

81812 Doctor Carreon Blvd Ste D
Indio, CA 92201-5594
Phone (760) 647-7676

Other practice location 6

81800 Doctor Carreon Blvd Ste B
Indio, CA 92201-5595
Phone (760) 647-7676

Other practice location 7

36101 Bob Hope Dr Ste A
Rancho Mirage, CA 92270-2001
Phone (760) 632-1131

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
I20210308002427 CA Practitioner - Nurse Practitioner 1254747744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tobias Moeller-Bertram MD CorporationGroup PAC ID 1456586064, 56 clinicians

Practice addresses (Care Compare)

1133 N Palm Canyon Dr
Suite a
Palm Springs, CA 92262-4431
Phone (760) 320-8005

Hospital & facility affiliations

  • Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95012842CAMDFamily Nurse Practitioner

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Tobias Moeller-Bertram MD Corporation CurrentSince Mar 1, 2021 Accepting new patients
Moeller-Bertram Medical Corporation CurrentSince May 1, 2025 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Mar 1, 2021 Accepting new patients
Tobias Moeller-Bertram MD Corporation PastSince Jun 23, 2025 Accepting new patients

Locations

1011 E Devonshire Ave
Ste 101
Hemet, CA 92543
Phone (951) 658-7284

17450 Main St
Ste D
Hesperia, CA 92345
Phone (760) 493-2929

81812 Doctor Carreon Blvd
Ste D
Indio, CA 92201
Phone (760) 347-7676

81800 Doctor Carreon Blvd
Ste B
Indio, CA 92201
Phone (760) 347-7676

3857 Birch St
Newport Beach, CA 92660
Phone (949) 783-3600

44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290

1133 N Palm Canyon Dr
Palm Springs, CA 92262
Phone (760) 318-8722

1133 N Palm Canyon Dr
Ste A
Palm Springs, CA 92262
Phone (760) 320-2200

36101 Bob Hope Dr
Ste A1
Rancho Mirage, CA 92270
Phone (760) 321-1315

36101 Bob Hope Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 321-1315

36101 Bob Hope Dr
#A
Rancho Mirage, CA 92270
Phone (949) 783-3600

7065 Indiana Ave
Ste 100110
Riverside, CA 92506
Phone (951) 476-0115

7065 Indiana Ave
Ste 100
Riverside, CA 92506
Phone (951) 476-0115

1695 S San Jacinto Ave
Ste A
San Jacinto, CA 92583
Phone (951) 330-3100

1695 S San Jacinto Ave
Ste Adf
San Jacinto, CA 92583
Phone (951) 330-3100

27699 Jefferson Ave
Ste 201
Temecula, CA 92590
Phone (602) 421-4204

12640 Hesperia Rd
Ste D
Victorville, CA 92395
Phone (760) 684-4143

12830 Hesperia Rd
Ste Ad
Victorville, CA 92395
Phone (760) 684-8999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1801426465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE STE A-D&F",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-330-3100",
            "fax_number": "951-350-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE STE A-D&F",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "951-330-3100",
            "fax_number": "951-350-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7065 Indiana Ave Ste 100&110",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925064167",
            "country_code": "US",
            "telephone_number": "951-476-0115",
            "fax_number": "951-476-0116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 N Palm Canyon Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624431",
            "country_code": "US",
            "telephone_number": "760-320-8005",
            "fax_number": "760-406-6057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12640 HESPERIA RD STE D",
            "address_purpose": "LOCATION",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957753",
            "country_code": "US",
            "telephone_number": "760-684-4143",
            "fax_number": "760-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12830 HESPERIA RD STE A-D",
            "address_purpose": "LOCATION",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957788",
            "country_code": "US",
            "telephone_number": "760-684-8999",
            "fax_number": "760-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81812 DOCTOR CARREON BLVD STE D",
            "address_purpose": "LOCATION",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015594",
            "country_code": "US",
            "telephone_number": "760-647-7676",
            "fax_number": "760-347-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81800 DOCTOR CARREON BLVD STE B",
            "address_purpose": "LOCATION",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015595",
            "country_code": "US",
            "telephone_number": "760-647-7676",
            "fax_number": "760-347-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36101 Bob Hope Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922702001",
            "country_code": "US",
            "telephone_number": "760-632-1131",
            "fax_number": "746-032-1109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIRIANO",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95012842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.