Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqueline Masequesmay, MD

Individual provider Family Medicine Physician · NPI 1174710164

Dr. Jacqueline Masequesmay, MD is a Family Practice in Northridge, California. Graduated from Tufts University School of Medicine in 2004, 22 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Trained at
Tufts University School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

18350 Roscoe Blvd Ste 600
Northridge, CA 91325-4187
Phone: (818) 727-1515
Fax: (818) 727-7997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A93026 (CA)

Record details

NPI number1174710164
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2007
Last updated in NPPESDecember 2, 2021
Mailing address18350 Roscoe Blvd Ste 600, Northridge, CA 91325-4187

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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