Jessica Lee Arenas, PAC
Individual provider Active NPI Family Medicine Physician · Glendora, CA
NPI 1982602397 · NPPES record last updated Aug 26, 2008
Key facts
- NPI
- 1982602397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- PA14854 (CA)
- Practice address
- 210 S Grand Ave Ste 200
Glendora, CA 91741-4205 - Phone
- (626) 335-3527
- Fax
- (626) 963-6196
- NPI assigned
- Jul 9, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14854 | CA | MD | Optometrist |
| PA14854 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crown City Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Altamed Health Services Corporation | Past | Accepting new patients |
Interoperability endpoints
- jessica.arenas@8b7042bf.micromddirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA14854 | CA | Yes |
Addresses
Primary practice location
210 S Grand Ave Ste 200
Glendora, CA 91741-4205
Mailing address
210 S Grand Ave Ste 200
Glendora, CA 91741-4205
Phone (626) 335-3527
Other names
- Jessica Beisler
Other providers in Glendora, CA
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- Arakelyan Aznavour Dental Corporation
- Richard Arce Jr.
- Alexandria Arceo-Herrera
- Lindsay Archuleta
- Arise Transport LLC
- Arisu Acupuncture Clinic, Inc.
- Nancy Arnold
- Arnouk DDS Inc
- Mariam Claire Arnouk
All providers in Glendora, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.