Paulyne Therese Sajo Jardeleza

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95012637 Issued in CA

Practice address

1250 16TH St
Santa Monica, CA 90404-1249

Phone

(424) 259-6000

NPI assigned

Oct 13, 2019

Sex

Female

Sole proprietor

No

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Hospitalist Medical Group IncGroup PAC ID 8921308636, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Martin Luther King, Jr. Community Hospital Hospital, Los Angeles, CA, CCN 050779

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Capital Hospitalist Medical Group Inc

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1992178222
  Medicare reassignment Care Compare group NPD
• Superior Hospitalist Medical Group Inc

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1780047712
  Medicare reassignment NPD
• Vep MLK Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1841679289
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1114367497
  Care Compare affiliation

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570924800000",
    "number": "1912549700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14717 HARVEST AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906505663",
            "telephone_number": "562-397-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041249",
            "telephone_number": "424-259-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14717 Harvest Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906505663",
            "country_code": "US",
            "telephone_number": "562-397-6580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARDELEZA",
        "first_name": "PAULYNE THERESE",
        "middle_name": "SAJO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-13",
        "last_updated": "2019-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugenia O Jansen, CMT
• Jennica Janssen, PHD, JD
• Daniel Janulaitis
• Savannah Jaouhari, LPCC, NCC
• Molly Jarchow, ND, LM
• Maninder Kaur Jasdhaul, MSN,RN,ACNS-BC
• Jason Mirabile Dental Corp
• Cristie Jauregi Cancio
• Abe Javaheri, PHARM.D.
• Khalid Kurbanali Javeri, M.D.

• Family Nurse Practitioner in Santa Monica, CA
• Providers in Santa Monica, 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 Oct 13, 2019; 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.

Verify at the official NPI Registry.