Individual provider Active NPI

Jillian Vidal Esguerra

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1811488141
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009108 Issued in CA
Practice address
6316 Holmes Ave
Los Angeles, CA 90001-1824
Phone
(323) 583-5887
Fax
(323) 583-6601
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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 95009108 CA Primary

Addresses

Primary practice location

6316 Holmes Ave
Los Angeles, CA 90001-1824

Mailing address

6316 Holmes Ave
Los Angeles, CA 90001-1824
Phone (323) 583-5887

Other identifiers 1

IdentifierTypeStateIssuer
95009108MedicaidCA

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
I20221005002018 CA Practitioner - Nurse Practitioner 0345626933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John'S Community HealthGroup PAC ID 2961482690, 151 clinicians

Practice addresses (Care Compare)

2115 N Wilmington Ave
Compton, CA 90222-2030
Phone (310) 603-1332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95009108CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Aug 1, 2022 Accepting new patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Aug 1, 2022 Accepting new patients
Harold Cardinal Valery M.D. Inc. Past Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jillian.esguerra@sjch.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1811488141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 HOLMES AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011824",
            "telephone_number": "323-583-5887",
            "fax_number": "323-583-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 HOLMES AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011824",
            "telephone_number": "323-583-5887",
            "fax_number": "323-583-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESGUERRA",
        "first_name": "JILLIAN",
        "middle_name": "VIDAL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95009108",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.