JEREEN PEREZ MEDINA NP
NPI 1477959161
Nurse Practitioner - Family in Fontana, CA
About Jereen Perez Medina Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREEN PEREZ MEDINA NP (NPI 1477959161) is an individual family provider in Fontana, California, licensed in California (95001225) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Jereen Perez Medina Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jereen Perez Medina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 149 clinicians in this Medicare group
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 5,228 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 92335 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 15
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 Jereen Perez Medina's NPI number?
The NPI number for Jereen Perez Medina is 1477959161. It was assigned to this individual provider in the NPPES registry on November 7, 2014. The provider is also known as Jereen P Medina.
Where is Jereen Perez Medina located?
Jereen Perez Medina practices at 8110 Mango Ave, Fontana, CA 92335. The listed phone number is (909) 427-1303.
What is Jereen Perez Medina's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jereen Perez Medina enrolled in Medicare?
Yes. Jereen Perez Medina 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 organizations bill Medicare for Jereen Perez Medina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jereen Perez Medina reassigns Medicare benefits to 2 organizations: Pinnacle Medical Group, Inc (Fontana, CA) and Southern California Permanente Medical Group (Fontana, 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 Jereen Perez Medina'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 Jereen Perez Medina was last updated on December 22, 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.
# Jereen Perez Medina, NP · NPI 1477959161
Family physician in Fontana, California. Individual provider, active in the CMS NPPES registry since November 7, 2014.
## Identity
- **NPI:** 1477959161 (Entity type: Individual)
- **Enumerated:** November 7, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95001225 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8110 MANGO AVE, Fontana, CA 92335-3603
- **Phone:** (909) 427-1303
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pinnacle Medical Group, Inc (NPI 1376876912, Fontana, CA); Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** December 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1477959161) · Data from the CMS NPPES public registry.