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MR. JESUS OMAR VALENZUELA FNP
NPI 1003474321
Nurse Practitioner - Family in Rialto, CA

Active since June 01, 2019PECOS EnrolledAccepts Medicare Assignment
436 S RIVERSIDE AVE, RIALTO, CA 92376(909) 877-8868 Get Directions Write a Review

NPPES record last updated: June 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jesus Omar Valenzuela Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JESUS OMAR VALENZUELA FNP (NPI 1003474321) is an individual family provider in Rialto, California, licensed in California (95011922) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003474321
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JESUS OMAR VALENZUELACredential: FNP
Location Address436 S RIVERSIDE AVERialto, CA 92376-6523
Mailing Address436 S Riverside AveRialto, CA 92376-6523 · (909) 877-8868
Phone(909) 877-8868
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 1, 2019
✔ NPI 1003474321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95011922
436 S RIVERSIDE AVE, Rialto, CA 92376
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jesus Omar Valenzuela Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052641305
PECOS Enrollment IDI20190930000923, I20230803004039
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
174 services174 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92376 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. YESENIA VALLEJO CHW
Community Health Worker
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 877-8868
MS. MELISSA BARRIOS CHW
Community Health Worker
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 877-8868
OH J. KWON DDS, INC
Dentist
436 S RIVERSIDE AVE, SUITE B
RIALTO, CA 92376
San Bernardino County (909) 874-5200
MR. DARSHAN SATISH BHAKTA PHARM. D.
Pharmacist
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 961-2288
LLAXMI RX INC
Pharmacy (Community/Retail Pharmacy)
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 961-2288
VISTA PHARMACIES INC
Pharmacy (Community/Retail Pharmacy)
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 875-7260
MR. DIEGO H SEVILLA PHYSICIAN ASSISTANT
Physician Assistant
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 877-8868
GRACE A BUONAVITA PAC
Physician Assistant
436 S RIVERSIDE AVE
RIALTO, CA 92376
San Bernardino County (909) 877-8868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesus Valenzuela's NPI number?

The NPI number for Jesus Valenzuela is 1003474321. It was assigned to this individual provider in the NPPES registry on June 1, 2019.

Where is Jesus Valenzuela located?

Jesus Valenzuela practices at 436 S Riverside Ave, Rialto, CA 92376. The listed phone number is (909) 877-8868.

What is Jesus Valenzuela's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jesus Valenzuela enrolled in Medicare?

Yes. Jesus Valenzuela is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jesus Valenzuela was last updated on June 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.