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JUDE T GINETA NP
NPI 1093401457
Nurse Practitioner - Family in Los Angeles, CA

Active since April 17, 2023PECOS EnrolledAccepts Medicare Assignment
4742 EAGLE ROCK BLVD, LOS ANGELES, CA 90041(323) 474-6016(323) 471-1761 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2025, May 12, 2024 (2 updates tracked since 2024).

About Jude T Gineta Np NPPES

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

JUDE T GINETA NP (NPI 1093401457) is an individual family provider in Los Angeles, California, licensed in California (95024592) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093401457
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUDE T GINETACredential: NP
Location Address4742 EAGLE ROCK BLVDLos Angeles, CA 90041-2736
Mailing Address4742 Eagle Rock BlvdLos Angeles, CA 90041-2736 · (323) 474-6016 · Fax (323) 471-1671
Phone(323) 474-6016
Fax(323) 471-1761
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 17, 2023
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1093401457 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 · 95024592
4742 EAGLE ROCK BLVD, Los Angeles, CA 90041
Open in Google Maps ↗

Secondary Practice Location 1

Location 14867 Eagle Rock BlvdLos Angeles, CA 90041-2657 · Phone (323) 254-6754

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

Jude T Gineta Np 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 ID5092253880
PECOS Enrollment IDI20251022001018
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90041 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

OUI WE CARE MEDICAL CORPORATION
Clinic/Center (Urgent Care)
4742 EAGLE ROCK BLVD
LOS ANGELES, CA 90041
Los Angeles County (323) 474-6016

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 Jude Gineta's NPI number?

The NPI number for Jude Gineta is 1093401457. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Where is Jude Gineta located?

Jude Gineta practices at 4742 Eagle Rock Blvd, Los Angeles, CA 90041. The listed phone number is (323) 474-6016.

What is Jude Gineta's specialty?

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

Is Jude Gineta enrolled in Medicare?

Yes. Jude Gineta 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 Jude Gineta was last updated on November 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.