MISS JACQUELINE MONIQUE DIAZ FNP
NPI 1104756691
Nurse Practitioner - Family in Temecula, CA
About Miss Jacqueline Monique Diaz Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS JACQUELINE MONIQUE DIAZ FNP (NPI 1104756691) is an individual family provider in Temecula, California, licensed in California (95039624) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Jacqueline Monique Diaz Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92591 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacqueline Diaz's NPI number?
The NPI number for Jacqueline Diaz is 1104756691. It was assigned to this individual provider in the NPPES registry on May 19, 2026.
Where is Jacqueline Diaz located?
Jacqueline Diaz practices at 27450 Ynez Rd Ste 128, Temecula, CA 92591. The listed phone number is (951) 331-4020.
What is Jacqueline Diaz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Diaz enrolled in Medicare?
Yes. Jacqueline Diaz is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacqueline Diaz was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Miss Jacqueline Monique Diaz, FNP · NPI 1104756691
Family physician in Temecula, California. Individual provider, active in the CMS NPPES registry since May 19, 2026.
## Identity
- **NPI:** 1104756691 (Entity type: Individual)
- **Enumerated:** May 19, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95039624 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 27450 YNEZ RD STE 128, Temecula, CA 92591-4680
- **Phone:** (951) 331-4020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104756691) · Data from the CMS NPPES public registry.