Individual provider Active NPI

Jacqueline Lindow, RD, FNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1922421148
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023936 Issued in CA
Practice address
12588 Carmel Creek Rd Unit 31
San Diego, CA 92130-2318
Phone
(619) 871-8827
NPI assigned
Jan 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1095189
Registered Nurse 163W00000X 95198398 CA
Family Nurse Practitioner 363LF0000X 95023936 CA Primary

Addresses

Primary practice location

12588 Carmel Creek Rd Unit 31
San Diego, CA 92130-2318

Mailing address

12588 Carmel Creek Rd Unit 31
San Diego, CA 92130-2318
Phone (619) 871-8827

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
I20230728002530 CA Practitioner - Nurse Practitioner 9739540329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Socal Nursing Wound Care PCGroup PAC ID 1456859040, 4 clinicians

Practice addresses (Care Compare)

316 Triangular Rd
San Marcos, CA 92078-4750
Phone (619) 871-8827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95198398CAMDRegistered Nurse
95023936CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince Jul 3, 2023 Accepting new patients
Socal Nursing Wound Care PC CurrentSince Jun 14, 2025 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

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": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1922421148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12588 CARMEL CREEK RD UNIT 31",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302318",
            "telephone_number": "619-871-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12588 CARMEL CREEK RD UNIT 31",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302318",
            "telephone_number": "619-871-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDOW",
        "first_name": "JACQUELINE",
        "credential": "RD, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1095189",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95198398",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.