DR. JENNA K TIMBOE MD
NPI 1114362894
Pediatrics in San Clemente, CA

Active since May 07, 2013PECOS Enrolled
1300 AVENIDA VISTA HERMOSA STE 200, SAN CLEMENTE, CA 92673(949) 429-7700(949) 429-7704 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jenna K Timboe Md NPPES

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

DR. JENNA K TIMBOE MD (NPI 1114362894) is an individual pediatrics provider in San Clemente, California, licensed in California (A134953) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114362894
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JENNA K TIMBOECredential: MD
Location Address1300 AVENIDA VISTA HERMOSA STE 200San Clemente, CA 92673-6338
Mailing Address505 S Main St, Suite 525Orange, CA 92868-4509 · (714) 456-5631 · Fax (714) 285-0389
Fax(949) 429-7704
Sole ProprietorNo
Enumeration DateMay 7, 2013
Last NPPES UpdateJuly 31, 2019
✔ NPI 1114362894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A134953
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1300 AVENIDA VISTA HERMOSA STE 200, San Clemente, CA 92673

Other Identifiers 1

Medicaid1114362894CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jenna K Timboe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jenna Timboe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infusion Therapy
1640 NEWPORT BLVD, SUITE 400
Costa Mesa, CA 92627
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: University Of California Irvine
  • 255 clinicians in this Medicare group
Emergency Medicine
1100 WEST STEWART DR
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 97 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92673 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.

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 Jenna Timboe's NPI number?

The NPI number for Jenna Timboe is 1114362894. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Jenna Timboe located?

Jenna Timboe practices at 1300 Avenida Vista Hermosa Ste 200, San Clemente, CA 92673. The listed phone number is (949) 429-7700.

What is Jenna Timboe's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jenna Timboe enrolled in Medicare?

Yes. Jenna Timboe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jenna Timboe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Timboe reassigns Medicare benefits to 2 organizations: Uc Irvine Health Cancer Center, Newport Pacific Medical Center (Costa Mesa, CA) and Emergency Medicine Specialists Of Orange County (Orange, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Timboe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenna Timboe was last updated on July 31, 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.