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JESSICA BLAIR PNP
NPI 1790167328
Nurse Practitioner - Pediatrics in Ladera Ranch, CA

Active since June 19, 2015PECOS Enrolled
333 CORPORATE DR STE 200, LADERA RANCH, CA 92694(949) 347-7200 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Mar 17, 2018, Jan 10, 2018 and 1 more (4 updates tracked since 2015).

About Jessica Blair Pnp NPPES

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

JESSICA BLAIR PNP (NPI 1790167328) is an individual pediatrics provider in Ladera Ranch, California, licensed in California (95007023) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790167328
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJESSICA BLAIRCredential: PNP
Location Address333 CORPORATE DR STE 200Ladera Ranch, CA 92694-2179
Mailing Address21882 JinetesMission Viejo, CA 92691-1114 · (310) 897-1840
Phone(949) 347-7200
Sole ProprietorNo
Enumeration DateJune 19, 2015
Last NPPES UpdateJune 4, 20254 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1790167328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 95007023
333 CORPORATE DR STE 200, Ladera Ranch, CA 92694
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Woods

Secondary Practice Locations 2

Location 12360 Pacific AveLong Beach, CA 90806-3051 · Phone (562) 264-4658
Location 21590 Paseo San Luis Ste 102Sierra Vista, AZ 85635-4783 · Phone (520) 459-0203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Blair Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92694 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 5

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

DR. CHRISTINE M COMULADA MD
Pediatrics
333 CORPORATE DR STE 200
LADERA RANCH, CA 92694
Orange County (949) 347-7200
LISA TESCHKE-NGUYEN M.D.
Pediatrics
333 CORPORATE DR STE 200
LADERA RANCH, CA 92694
Orange County (949) 388-1798
DR. MEENA TANWAR-AHUJA M.D.
Pediatrics
333 CORPORATE DR STE 200
LADERA RANCH, CA 92694
Orange County (949) 347-7200
MARIA ANDRUZZI AMBROSINI FNP
Nurse Practitioner
333 CORPORATE DR STE 200
LADERA RANCH, CA 92694
Orange County (949) 347-7200
MRS. ANNIE KAYE SHUGARMAN P.A.-C
Physician Assistant
333 CORPORATE DR STE 200
LADERA RANCH, CA 92694
Orange County (949) 347-7200

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 Jessica Blair's NPI number?

The NPI number for Jessica Blair is 1790167328. It was assigned to this individual provider in the NPPES registry on June 19, 2015. The provider is also known as Jessica Woods.

Where is Jessica Blair located?

Jessica Blair practices at 333 Corporate Dr Ste 200, Ladera Ranch, CA 92694. The listed phone number is (949) 347-7200.

What is Jessica Blair's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jessica Blair enrolled in Medicare?

Yes. Jessica Blair is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Blair was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.