JENKINS FAMILY NURSING MEDICAL PRACTICE, INC
NPI 1679329080
Clinic/Center - Health Service in Ontario, CA

Active since April 26, 2024
3333 CONCOURS STE 4200, ONTARIO, CA 91764(909) 230-8930(951) 379-7001 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jenkins Family Nursing Medical Practice, Inc NPPES

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

JENKINS FAMILY NURSING MEDICAL PRACTICE, INC (NPI 1679329080) is a healthcare organization registered as a health service in Ontario, California and active in the NPI registry since April 2024. The organization lists Charlotte Jenkins, Ceo/ Owner, as its authorized official.

NPPES Registry Identity

NPI1679329080
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameJENKINS FAMILY NURSING MEDICAL PRACTICE, INC
Location Address3333 CONCOURS STE 4200Ontario, CA 91764-6547
Mailing Address3333 Concours Ste 4200Ontario, CA 91764-6547 · (092) 308-9309 · Fax (951) 379-7001
Fax(951) 379-7001
Organization SubpartNo
Authorized OfficialCharlotte JenkinsCeo/ Owner · (909) 230-8930
Enumeration DateApril 26, 2024
NPPES CertifiedApril 26, 2024
✔ NPI 1679329080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
3333 CONCOURS STE 4200, Ontario, CA 91764

Other Names 1

Former Legal Business NameJenkins Family Nursing Medical Practice, Inc

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenkins Family Nursing Medical Practice, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jenkins Family Nursing Medical Practice, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1609177641
3333 CONCOURS STE 4200
Ontario, CA 91764
(909) 230-8930
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jenkins Family Nursing Medical Practice, Inc's NPI number?

The NPI number for Jenkins Family Nursing Medical Practice, Inc is 1679329080. It was assigned to this organization in the NPPES registry on April 26, 2024.

Where is Jenkins Family Nursing Medical Practice, Inc located?

Jenkins Family Nursing Medical Practice, Inc is located at 3333 Concours Ste 4200, Ontario, CA 91764. The listed phone number is (909) 230-8930.

What is Jenkins Family Nursing Medical Practice, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Jenkins Family Nursing Medical Practice, Inc enrolled in Medicare?

Yes. Jenkins Family Nursing Medical Practice, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jenkins Family Nursing Medical Practice, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jenkins Family Nursing Medical Practice, Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jenkins Family Nursing Medical Practice, Inc was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.