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

Jennifer Jardeleza Crisostomo, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1659020576

Jennifer Jardeleza Crisostomo, NURSEPRACTITIONER is a Nurse Practitioner in Covina, California. Qualified in 2021, 5 years ago. Practices with Foothill Cardiology Medical Group Inc, a 36-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

235 E Badillo St
Covina, CA 91723-2116
Phone: (626) 915-4700
Fax: (626) 214-7815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95019457 (CA)

Record details

NPI number1659020576
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 18, 2022
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Foothill Cardiology Medical Group Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Covina