PAULYNE THERESE SAJO JARDELEZA
NPI 1912549700
Nurse Practitioner - Family in Santa Monica, CA

Active since October 13, 2019PECOS EnrolledAccepts Medicare Assignment
1250 16TH ST, SANTA MONICA, CA 90404(424) 259-6000 Get Directions Write a Review

NPPES record last updated: October 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1912549700
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAULYNE THERESE SAJO JARDELEZA
Location Address1250 16TH STSanta Monica, CA 90404-1249
Mailing Address14717 Harvest AveNorwalk, CA 90650-5663 · (562) 397-6580
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 13, 2019
NPI 1912549700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95012637
1250 16TH ST, Santa Monica, CA 90404

Secondary Practice Location 1

Location 114717 Harvest AveNorwalk, CA 90650-5663 · Phone (562) 397-6580

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

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.

PECOS PAC ID7214351113
PECOS Enrollment IDI20200724001757
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

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.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients

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.

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 20

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

Nurse Practitioner
1250 16TH ST
SANTA MONICA, CA 90404
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1250 16TH ST
SANTA MONICA, CA 90404
Emergency Medicine
1250 16TH ST
SANTA MONICA, CA 90404
Nurse Practitioner (Acute Care)
1250 16TH ST
SANTA MONICA, CA 90404
Nurse Practitioner
1250 16TH ST
SANTA MONICA, CA 90404
Pharmacist
1250 16TH ST
SANTA MONICA, CA 90404
Nurse Practitioner (Family)
1250 16TH ST
SANTA MONICA, CA 90404
Nurse Practitioner (Acute Care)
1250 16TH ST
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.

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 6 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.