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DR. JACQUELINE MASEQUESMAY M.D.
NPI 1174710164
Family Medicine in Northridge, CA

Active since October 03, 2007PECOS EnrolledAccepts Medicare Assignment
18350 ROSCOE BLVD STE 600, NORTHRIDGE, CA 91325(818) 727-1515(818) 727-7997 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jacqueline Masequesmay M.d. NPPES

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

DR. JACQUELINE MASEQUESMAY M.D. (NPI 1174710164) is an individual family medicine provider in Northridge, California, licensed in California (A93026) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2004).

NPPES Registry Identity

NPI1174710164
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACQUELINE MASEQUESMAYCredential: M.D.
Location Address18350 ROSCOE BLVD STE 600Northridge, CA 91325-4187
Mailing Address18350 Roscoe Blvd Ste 600Northridge, CA 91325-4187 · (818) 727-1515 · Fax (818) 727-7997
Phone(818) 727-1515
Fax(818) 727-7997
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2004
Enumeration DateOctober 3, 2007
Last NPPES UpdateDecember 2, 2021
✔ NPI 1174710164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A93026
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
18350 ROSCOE BLVD STE 600, Northridge, CA 91325
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacqueline Masequesmay M.d. 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 ID4486793569
PECOS Enrollment IDI20091202000628
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 Reassignment

Medicare enrollment records show Jacqueline Masequesmay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2.0 mi
Health Maintenance Organization
8999 BALBOA BLVD
Northridge, CA 91325
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1013409036 (877) 608-0044

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 91325 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 2

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

HOPE FAMILY MEDICINE, INC.
Family Medicine
18350 ROSCOE BLVD STE 600
NORTHRIDGE, CA 91325
Los Angeles County (818) 727-1515
MARIBEL MARAMARA PAGKALINAWAN FNP
Nurse Practitioner (Family)
18350 ROSCOE BLVD STE 600, STE 600
NORTHRIDGE, CA 91325
Los Angeles County (818) 727-1515

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 Masequesmay's NPI number?

The NPI number for Jacqueline Masequesmay is 1174710164. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Where is Jacqueline Masequesmay located?

Jacqueline Masequesmay practices at 18350 Roscoe Blvd Ste 600, Northridge, CA 91325. The listed phone number is (818) 727-1515.

What is Jacqueline Masequesmay's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacqueline Masequesmay enrolled in Medicare?

Yes. Jacqueline Masequesmay 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.

Which organization bills Medicare for Jacqueline Masequesmay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Masequesmay reassigns Medicare benefits to Southern California Permanente Medical Group (Northridge, CA). The 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 Jacqueline Masequesmay'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 Jacqueline Masequesmay was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.