Jennifer Ikemoto

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

NMW 1067 Issued in CA

Practice address

2210 Mesa Dr Ste 5
Oceanside, CA 92054-3701

Phone

(760) 757-5841

Fax

(760) 967-4863

NPI assigned

Mar 22, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jikemoto31589@scrippshlth.medalliesdirect.net

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.

• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• North County Health Project Inc

  dba TrueCare

  • Federally Qualified Health Center (FQHC)
  • San Marcos, CA
  • NPI 1588489975
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952427601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MESA DR STE 5",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543701",
            "telephone_number": "760-757-5841",
            "fax_number": "760-967-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MESA DR STE 5",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543701",
            "telephone_number": "760-757-5841",
            "fax_number": "760-967-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEMOTO",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW 1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ibasan, FNP
• Ibloom Therapy Inc.,
• Nadia Ibrahim
• Nagi Ibrahim, MD
• Julie Ann Ideta
• Jason Imhoff, LCSW
• Impact Anesthesia Associates
• Inform Diagnostics, Inc.
• Lois Ingber, LCSW
• Jade Marie Ingham

• Advanced Practice Midwife in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Advanced Practice Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.