Jandi Olivia Desinor
Individual provider Active NPI Physician Assistant · West Covina, CA
NPI 1831868520 · NPPES record last updated Jun 23, 2024
Key facts
- NPI
- 1831868520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA60791 (CA)
- Practice address
- 1115 S Sunset Ave
West Covina, CA 91790-3940 - Phone
- (626) 962-4011
- NPI assigned
- Sep 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Exer Medical Corporation
Practice addresses (Care Compare)
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
269 S San Pedro St
Los Angeles, CA 90012-3808
Phone (213) 947-3600
4121 Santa Monica Blvd
Suite 103
Los Angeles, CA 90029-2270
Phone (213) 335-7355
600 S Lake Ave
Suite 105
Pasadena, CA 91106-3955
Phone (626) 844-8848
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220420002637 | CA | Practitioner - Physician Assistant | 2567859630 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60791 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current |
Accepting new patients | |
| Carbon Health Medical Group of California PC | Current |
Accepting new patients |
Locations
7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501
2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990
1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434
Interoperability endpoints
- jandi.desinor.1@27469.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60791 | CA | Yes |
Addresses
Primary practice location
1115 S Sunset Ave
West Covina, CA 91790-3940
Mailing address
275 N Garfield Ave Apt 4a
Pasadena, CA 91101-1547
Phone (386) 627-5157
Other practice location 1
1731 E 120th St
Los Angeles, CA 90059-3051
Phone (323) 563-4800
Other providers in West Covina, CA
- Nicholas David Delia
- Delivering Smiles Dental Hygiene Practice of Jacqueline Gonzalez Quiro
- Vincent Delong
- Dennis Cheng OD
- Edison Hong Der
- Deval Patel Optometric Corporation
- DFW ABA Center of West Covina
- Sadhna Dhand
- Sara Dhand
- Subhash Dhand
All providers in West Covina, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.