Tiffany De Jesus, - Medicare Nurse Practitioner in Upland, CA

Tiffany De Jesus, is a medicare enrolled "Nurse Practitioner - Family" in Upland, California. Her current practice location is 1310 San Bernardino Rd Ste 105, Upland, California. You can reach out to her office (for appointments etc.) via phone at (909) 429-2864.

Tiffany De Jesus is licensed to practice in California (license number 95022332) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447799739.

Contact Information

Tiffany De Jesus,
1310 San Bernardino Rd Ste 105,
Upland, CA 91786-4985
(909) 429-2864
Not Available

Map and Direction




Provider's Profile

Full NameTiffany De Jesus
GenderFemale
SpecialityNurse Practitioner - Family
Location1310 San Bernardino Rd Ste 105, Upland, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447799739
  • Provider Enumeration Date: 02/20/2017
  • Last Update Date: 07/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911369475
  • Enrollment ID: I20230815002543

Medical Identifiers

Medical identifiers for Tiffany De Jesus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447799739NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WD0400XRegistered Nurse - Diabetes Educator 720787 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program 720787 (California)Secondary
363LF0000XNurse Practitioner - Family 95022332 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tiffany De Jesus allows following entities to bill medicare on her behalf.
Entity NameCucamonga Valley Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497783229
PECOS PAC ID: 6709899883
Enrollment ID: O20060712000099

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany De Jesus is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tiffany De Jesus,
1310 San Bernardino Rd Ste 105,
Upland, CA 91786-4985

Ph: (909) 429-2864
Tiffany De Jesus,
1310 San Bernardino Rd Ste 105,
Upland, CA 91786-4985

Ph: (909) 429-2864

Reviews and Comments


Nurse Practitioner Nurses in Upland, CA

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Mrs. Mina Grasso, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 1113 Alta Ave Ste 210, Upland, Upland, CA 91786
Phone: 909-982-1074    Fax: 909-982-3104

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.