Jessica Maria Delgado

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95019353 Issued in CA

Practice address

1083 Alberdan Cir
Pinole, CA 94564-2701

Phone

(510) 758-6848

NPI assigned

Jan 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1881355709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 ALBERDAN CIR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642701",
            "telephone_number": "510-758-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 ALBERDAN CIR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642701",
            "telephone_number": "510-758-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "JESSICA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann D Dawkins-Padigela, AMFT APCC
• Donna Sison Day, PHARMD
• Kirstie Catherine Daza
• De Witt and Associates Behavior Services Inc
• Dean H. Burget Inc.
• Anqi Deng, OD
• Son Hoang Dinh, PHARMD
• DMC Homes Inc
• Patricia Anne Dorato
• Double Pine Care Homes LLC

• Family Nurse Practitioner in Pinole, CA
• Providers in Pinole, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.