MS. JEANETTE RAE PONCE M.D.
NPI 1548230337
Family Medicine in Santa Ana, CA

Active since January 24, 2006Opted out of Medicare · through Jun 11, 2027
2112 E 4TH ST STE 100, SANTA ANA, CA 92705(714) 751-3800(714) 795-2992 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jeanette Rae Ponce M.d. NPPES

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

MS. JEANETTE RAE PONCE M.D. (NPI 1548230337) is an individual family medicine provider in Santa Ana, California, licensed in California (A68979) and active in the NPI registry since January 2006. She has opted out of Medicare through June 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1548230337
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. JEANETTE RAE PONCECredential: M.D.
Location Address2112 E 4TH ST STE 100Santa Ana, CA 92705-3849
Mailing Address1216 French Street Apt. CSanta Ana, CA 92701 · (714) 679-6584
Fax(714) 795-2992
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateNovember 30, 2018
NPI 1548230337 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 · A68979
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.
2112 E 4TH ST STE 100, Santa Ana, CA 92705

Other Identifiers 1

Medicaid00A689790CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Jeanette Rae Ponce M.d. 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 June 11, 2019 through June 11, 2027.

Opt-Out Effective DateJune 11, 2019
Opt-Out In Effect ThroughJune 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 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

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

Family Medicine
2112 E 4TH ST STE 100
SANTA ANA, CA 92705

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 Jeanette Ponce's NPI number?

The NPI number for Jeanette Ponce is 1548230337. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Jeanette Ponce located?

Jeanette Ponce practices at 2112 E 4th St Ste 100, Santa Ana, CA 92705. The listed phone number is (714) 751-3800.

What is Jeanette Ponce's specialty?

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

Is Jeanette Ponce enrolled in Medicare?

No. Jeanette Ponce has opted out of Medicare through June 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeanette Ponce was last updated on November 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.