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DR. JENNIFER JOSEPHINE D'SA MD
NPI 1750510251
Family Medicine in Fontana, CA

Active since July 07, 2009PECOS EnrolledAccepts Medicare Assignment
17500 FOOTHILL BLVD, #A-2, FONTANA, CA 92335(909) 428-0170(877) 778-9312 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jennifer Josephine D'sa Md NPPES

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

DR. JENNIFER JOSEPHINE D'SA MD (NPI 1750510251) is an individual family medicine provider in Fontana, California, licensed in California (A122614) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1750510251
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JENNIFER JOSEPHINE D'SACredential: MD
Location Address17500 FOOTHILL BLVD, #A-2Fontana, CA 92335-3798
Mailing Address200 Oceangate, Suite 100Long Beach, CA 90802-4317 · (909) 428-0170 · Fax (877) 778-9312
Phone(909) 428-0170
Fax(877) 778-9312
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 7, 2009
Last NPPES UpdateSeptember 19, 2016
✔ NPI 1750510251 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 · A122614
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.

17500 FOOTHILL BLVD, Fontana, CA 92335
Open in Google Maps ↗

Other Identifiers 2

OtherP01282961/DU4034CA · Railroad Medicare-fontana
Medicare PINCA112237CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer Josephine D'sa Md 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.

PECOS PAC ID648423475
PECOS Enrollment IDI20130103000410
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services21 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services17 patients

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.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 6

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

LAURA Y. JIMENEZ, DDS PROF. DENTAL CORP
Dentist
17500 FOOTHILL BLVD
FONTANA, CA 92335
San Bernardino County (909) 357-7000
ARLENE RODRIGUEZ
Nurse Practitioner
17500 FOOTHILL BLVD
FONTANA, CA 92335
San Bernardino County (909) 428-0170
DR. ENRICO A MELSON MD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
17500 FOOTHILL BLVD, SUITE A-2
FONTANA, CA 92335
San Bernardino County (909) 428-0170
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA
Non-Pharmacy Dispensing Site
17500 FOOTHILL BLVD, SUITE A2
FONTANA, CA 92335
San Bernardino County (909) 428-0170
LANNIE MOY PA-C
Family Medicine
17500 FOOTHILL BLVD, #A-2
FONTANA, CA 92335
San Bernardino County (909) 428-0171
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA
Family Medicine
17500 FOOTHILL BLVD, #A-2
FONTANA, CA 92335
San Bernardino County (909) 428-0170

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 Jennifer D'sa's NPI number?

The NPI number for Jennifer D'sa is 1750510251. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Where is Jennifer D'sa located?

Jennifer D'sa practices at 17500 Foothill Blvd #a-2, Fontana, CA 92335. The listed phone number is (909) 428-0170.

What is Jennifer D'sa's specialty?

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

Is Jennifer D'sa enrolled in Medicare?

Yes. Jennifer D'sa 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.

When was this NPI record last updated?

The NPPES record for Jennifer D'sa was last updated on September 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.