Individual provider Active NPI

Jessica Diana Karaguezian, FNP-BC

  • Nurse Practitioner
  • Temple City, CA
National Provider Identifier
1881342277
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95020293 Issued in CA
Practice address
5943 Encinita Ave
Temple City, CA 91780-1933
Phone
(626) 628-4528
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95020293 CA Primary

Addresses

Primary practice location

5943 Encinita Ave
Temple City, CA 91780-1933

Mailing address

5943 Encinita Ave
Temple City, CA 91780-1933
Phone (626) 628-4528

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
I20230120000192 CA Practitioner - Nurse Practitioner 1759752264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Aid Urgent Care IncGroup PAC ID 6709106453, 16 clinicians

Practice addresses (Care Compare)

7204 Foothill Blvd
Tujunga, CA 91042-2719
Phone (818) 352-8333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Aid Urgent Care Inc CurrentSince Nov 15, 2022 Accepting new patients
Anaheim Urgent Care, Inc. PastSince Nov 15, 2022 Accepting new patients

Locations

7204 Foothill Blvd
Tujunga, CA 91042
Phone (818) 237-6200

Organizations & group practices 2

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1881342277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 ENCINITA AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801933",
            "telephone_number": "626-628-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5943 ENCINITA AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801933",
            "telephone_number": "626-628-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAGUEZIAN",
        "first_name": "JESSICA",
        "middle_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95020293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

Verify at the official NPI Registry.