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JEANINE JUSTINIANO
NPI 1154900827
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since April 07, 2021PECOS Enrolled
2315 STOCKTON BLVD, SACRAMENTO, CA 95817(401) 500-6838 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanine Justiniano NPPES

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

JEANINE JUSTINIANO (NPI 1154900827) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154900827
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJEANINE JUSTINIANO
Location Address2315 STOCKTON BLVDSacramento, CA 95817-2201
Mailing Address20 Swiss St Apt C22Providence, RI 02909-1588 · (401) 500-6838
Phone(401) 500-6838
Sole ProprietorYes
Enumeration DateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1154900827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2315 STOCKTON BLVD, Sacramento, CA 95817
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanine Justiniano 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.

Other Providers at the Same Location NPPES 20

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

KATHLEEN STUCKER
Social Worker (Clinical)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5628
MARIA ISABEL AGUILAR
Registered Nurse
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8730
NATHAN JACOB VANDEN BERGE
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8570
PETER SANTIAGO C.O., C.PED., FAAOP
Specialist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7045
SHIELA LEIGH SAMSON ANGULO DO
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5974
MS. KATHLEEN DOLORES VAN LEEUWEN MD
Surgery (Pediatric Surgery)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3229
STEPHEN MULFORD
Physical Therapy Assistant
2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248
MR. MARK YAMADA
Occupational Therapist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248

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 Jeanine Justiniano's NPI number?

The NPI number for Jeanine Justiniano is 1154900827. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Jeanine Justiniano located?

Jeanine Justiniano practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (401) 500-6838.

What is Jeanine Justiniano's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeanine Justiniano enrolled in Medicare?

Yes. Jeanine Justiniano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeanine Justiniano was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.