JACQUELINE BERALDO FNP, MFT
NPI 1336570894
Nurse Practitioner - Family in Santa Barbara, CA
About Jacqueline Beraldo Fnp, Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE BERALDO FNP, MFT (NPI 1336570894) is an individual family provider in Santa Barbara, California, licensed in California (332670) and active in the NPI registry since December 2013. She has opted out of Medicare through April 5, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jacqueline Beraldo Fnp, Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 5, 2024 through April 5, 2028.
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 Beraldo's NPI number?
The NPI number for Jacqueline Beraldo is 1336570894. It was assigned to this individual provider in the NPPES registry on December 10, 2013.
Where is Jacqueline Beraldo located?
Jacqueline Beraldo practices at 1010 Anacapa St, Santa Barbara, CA 93101. The listed phone number is (916) 247-0660.
What is Jacqueline Beraldo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Beraldo enrolled in Medicare?
No. Jacqueline Beraldo has opted out of Medicare through April 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jacqueline Beraldo was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jacqueline Beraldo, FNP, MFT · NPI 1336570894
Family physician in Santa Barbara, California. Individual provider, active in the CMS NPPES registry since December 10, 2013.
## Identity
- **NPI:** 1336570894 (Entity type: Individual)
- **Enumerated:** December 10, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 332670 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1010 ANACAPA ST, Santa Barbara, CA 93101-2103
- **Phone:** (916) 247-0660
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 5, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 10, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1336570894) · Data from the CMS NPPES public registry.