DENISE JEN
NPI 1790172419
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since April 21, 2015PECOS EnrolledAccepts Medicare Assignment
17234 VALLEY BLVD., FONTANA, CA 92335(909) 427-5083 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Denise Jen NPPES

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

DENISE JEN (NPI 1790172419) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790172419
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDENISE JEN
Location Address17234 VALLEY BLVD.Fontana, CA 92335-6847
Mailing Address17234 Valley Blvd.Fontana, CA 92335-6847 · (909) 427-5083
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 21, 2015
Last NPPES UpdateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
NPI 1790172419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
17234 VALLEY BLVD., Fontana, CA 92335

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

Denise Jen 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 ID5496030843
PECOS Enrollment IDI20180104002219
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.

Other Providers at the Same Location NPPES 15

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

Psychiatry & Neurology (Psychiatry)
17234 VALLEY BLVD., BUILDING A
FONTANA, CA 92335
Family Medicine
17234 VALLEY BLVD., CENTER FOR MEDICAL EDUCATION
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335
Internal Medicine
17234 VALLEY BLVD.
FONTANA, CA 92335
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17234 VALLEY BLVD., BLDG. A
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335

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 Denise Jen's NPI number?

The NPI number for Denise Jen is 1790172419. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Denise Jen located?

Denise Jen practices at 17234 Valley Blvd., Fontana, CA 92335. The listed phone number is (909) 427-5083.

What is Denise Jen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Denise Jen enrolled in Medicare?

Yes. Denise Jen 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 Denise Jen was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.