PAULYNE THERESE SAJO JARDELEZA
NPI 1912549700
Nurse Practitioner - Family in Santa Monica, CA
About Paulyne Therese Sajo Jardeleza NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAULYNE THERESE SAJO JARDELEZA (NPI 1912549700) is an individual family provider in Santa Monica, California, licensed in California (95012637) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Norwalk, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Paulyne Therese Sajo Jardeleza 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.
Medicare Billing Reassignments
3Medicare enrollment records show Paulyne Therese Jardeleza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 63 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 67 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 198 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA MONICA, CA 90404
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 Paulyne Therese Jardeleza's NPI number?
The NPI number for Paulyne Therese Jardeleza is 1912549700. It was assigned to this individual provider in the NPPES registry on October 13, 2019.
Where is Paulyne Therese Jardeleza located?
Paulyne Therese Jardeleza practices at 1250 16th St, Santa Monica, CA 90404. The listed phone number is (424) 259-6000.
What is Paulyne Therese Jardeleza's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Paulyne Therese Jardeleza enrolled in Medicare?
Yes. Paulyne Therese Jardeleza 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.
Which organizations bill Medicare for Paulyne Therese Jardeleza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paulyne Therese Jardeleza reassigns Medicare benefits to 3 organizations: Capital Hospitalist Medical Group Inc (Los Angeles, CA), Vep Mlk Emergency Medical Group Inc (Los Angeles, CA) and Superior Hospitalist Medical Group Inc (Los Angeles, CA). Each 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 Paulyne Therese Jardeleza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Paulyne Therese Jardeleza was last updated on October 13, 2019. 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.
# Paulyne Therese Sajo Jardeleza · NPI 1912549700
Family physician in Santa Monica, California. Individual provider, active in the CMS NPPES registry since October 13, 2019.
## Identity
- **NPI:** 1912549700 (Entity type: Individual)
- **Enumerated:** October 13, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95012637 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1250 16TH ST, Santa Monica, CA 90404-1249
- **Phone:** (424) 259-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Capital Hospitalist Medical Group Inc (NPI 1992178222, Los Angeles, CA); Vep Mlk Emergency Medical Group Inc (NPI 1841679289, Los Angeles, CA); Superior Hospitalist Medical Group Inc (NPI 1780047712, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 13, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1912549700) · Data from the CMS NPPES public registry.