Active NPI
Jennifer Revelo, FNP
- Family Nurse Practitioner
- Downey, CA
National Provider Identifier
1831050079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F10250831
- Practice address
- 9333 Imperial Hwy
Downey, CA 90242-2812 - Phone
- (833) 574-2273
- NPI assigned
- Nov 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F10250831 | CA | Primary |
Addresses
Primary practice location
9333 Imperial Hwy
Downey, CA 90242-2812
Mailing address
9333 Imperial Hwy
Downey, CA 90242-2812
Phone (833) 574-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1240 S Westlake Blvd
Suite 137
Westlake Village, CA 91361-1988
8221 Mountain Ash CT
Winnetka, CA 91306-1562
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10250831 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1831050079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9333 IMPERIAL HWY",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902422812",
"telephone_number": "833-574-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9333 IMPERIAL HWY",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902422812",
"telephone_number": "833-574-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVELO",
"first_name": "JENNIFER",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-18",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "F10250831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downey, CA
- Lisa Rae Repp, B.A.
- Carlos Fernando Resendiz
- Grace Marie Resnik, M.S. CCC-SLP
- Julian David Restrepo Castrillon, DDS
- Retina Institute of California Medical Group, a California Medical Par
- Angel Elizabeth Reyes Garcia
- Claudia Lorena Reyes
- Janelly G Reyes, AMFT 131116
- Odalis Reyes
- Victoria Anna Reyman, R.N.,N.P.,C.N.S.,
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.