DR. JENNIFER JOSEPHINE D'SA MD NPI 1750510251

NPI Information

  • NPI: 1750510251
  • Provider Name: DR. JENNIFER JOSEPHINE D'SA, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17500 FOOTHILL BLVD
    #A-2
    FONTANA, CA
    ZIP 92335
  • Phone: (909) 428-0170

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NPI Details

DR. Jennifer Josephine D'sa, MD is a family medicine in Fontana, CA with 18 years of experience. The provider is 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. DR. Jennifer Josephine D'sa, MD NPI is 1750510251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17500 FOOTHILL BLVD
#A-2
FONTANA, CA
ZIP 92335-798
Phone: (909) 428-0170
Fax: (877) 778-9312

The NPI 1750510251 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2009 and was last updated on 9/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA122614CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01282961/DU4034OTHERCALIFORNIARAILROAD MEDICARE-FONTANA
2CA112237MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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