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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELYN TERRANOVA
NPI 1528860004
Nurse Practitioner - Primary Care in San Dimas, CA

Active since March 26, 2025
1335 CYPRESS ST STE 205, SAN DIMAS, CA 91773(909) 521-0622 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 25, 2026, Apr 1, 2025, Mar 26, 2025 (3 updates tracked since 2025).

About Jacquelyn Terranova NPPES

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

JACQUELYN TERRANOVA (NPI 1528860004) is an individual primary care provider in San Dimas, California, licensed in California (95034384) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1528860004
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJACQUELYN TERRANOVA
Location Address1335 CYPRESS ST STE 205San Dimas, CA 91773-3538
Mailing Address1335 Cypress St Ste 205San Dimas, CA 91773-3538 · (909) 521-0622
Phone(909) 521-0622
Sole ProprietorNo
Enumeration DateMarch 26, 2025
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1528860004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95034384
1335 CYPRESS ST STE 205, San Dimas, CA 91773
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Other Providers at the Same Location NPPES 5

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

SHAHID SYED M.D.
Internal Medicine (Nephrology)
1335 CYPRESS ST STE 205
SAN DIMAS, CA 91773
Los Angeles County (909) 402-2777
DR. ABID ARIF RIZVI M.D.
Internal Medicine (Nephrology)
1335 CYPRESS ST STE 205
SAN DIMAS, CA 91773
Los Angeles County (909) 542-2777
DR. JIM NGUYEN D.O.
Internal Medicine (Nephrology)
1335 CYPRESS ST STE 205
SAN DIMAS, CA 91773
Los Angeles County (909) 542-2777
TRACY LIN DO
Internal Medicine
1335 CYPRESS ST STE 205
SAN DIMAS, CA 91773
Los Angeles County (909) 542-2777
DR. CHRISTOPHER CHE DAR WONG DO
Internal Medicine (Nephrology)
1335 CYPRESS ST STE 205
SAN DIMAS, CA 91773
Los Angeles County (909) 542-2777

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 Jacquelyn Terranova's NPI number?

The NPI number for Jacquelyn Terranova is 1528860004. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Jacquelyn Terranova located?

Jacquelyn Terranova practices at 1335 Cypress St Ste 205, San Dimas, CA 91773. The listed phone number is (909) 521-0622.

What is Jacquelyn Terranova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Terranova was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.