Active NPI
Denise Ann Jaffe, NP
- Nurse Practitioner
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP16045
- Practice address
- 77 Rolling Oaks Dr Ste 201
Thousand Oaks, CA 91361-1018 - Phone
- (805) 719-3700
- Fax
- (805) 413-9099
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP16045 | CA | Primary |
Addresses
Primary practice location
77 Rolling Oaks Dr Ste 201
Thousand Oaks, CA 91361-1018
Mailing address
135 S State College Blvd Ste 350
Brea, CA 92821-5814
Phone (805) 719-3700
Other practice location 1
501 N Central Ave
Glendale, CA 91203-1901
Phone (805) 719-3700
Other practice location 2
2121 Wilshire Blvd Ste 303
Santa Monica, CA 90403-5743
Phone (805) 719-3700
Other practice location 3
2720 N Harbor Blvd Ste 200
Fullerton, CA 92835-2626
Phone (805) 719-3700
Other practice location 4
24012 Calle De La Plata Ste 230
Laguna Hills, CA 92653-7623
Phone (805) 719-3700
Other practice location 5
23456 Hawthorne Blvd Ste 140
Torrance, CA 90505-4716
Phone (805) 719-3700
Other practice location 6
440 N Mountain Ave Ste 103
Upland, CA 91786-5183
Phone (805) 719-3700
Other practice location 7
27555 Ynez Rd Ste 370
Temecula, CA 92591-4678
Phone (805) 719-3700
Other practice location 8
79440 Corporate Center Dr Ste 100
LA Quinta, CA 92253-7243
Phone (805) 719-3700
Other practice location 9
4520 Executive Dr Ste 227
San Diego, CA 92121-3020
Phone (805) 719-3700
Other practice location 10
333 University Ave Ste 140
Sacramento, CA 95825-6535
Phone (805) 719-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP16045 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Robles Emergency Physicians Medical Group | Past | Accepting new patients |
Interoperability endpoints
- denise.jaffe.p1@direct.ifh.nextgenshare.com
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Thousand Oaks, CA
- NPI 1417983552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1982718227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S STATE COLLEGE BLVD STE 350",
"city": "BREA",
"state": "CA",
"postal_code": "928215814",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 ROLLING OAKS DR STE 201",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611018",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099"
}
],
"practiceLocations": [
{
"address_1": "501 N Central Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912031901",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2121 Wilshire Blvd Ste 303",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904035743",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2720 N Harbor Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928352626",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24012 Calle De La Plata Ste 230",
"address_purpose": "LOCATION",
"city": "Laguna Hills",
"state": "CA",
"postal_code": "926537623",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23456 Hawthorne Blvd Ste 140",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905054716",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "440 N Mountain Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917865183",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27555 Ynez Rd Ste 370",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925914678",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "79440 Corporate Center Dr Ste 100",
"address_purpose": "LOCATION",
"city": "LA Quinta",
"state": "CA",
"postal_code": "922537243",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4520 Executive Dr Ste 227",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921213020",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "333 University Ave Ste 140",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958256535",
"country_code": "US",
"telephone_number": "805-719-3700",
"fax_number": "805-413-9099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAFFE",
"first_name": "DENISE",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP16045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.