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

Jessica Elizabeth Petty, DO

Individual provider Internal Medicine Physician · NPI 1447631627

Jessica Elizabeth Petty, DO is a Pulmonary Disease in Corona, California. Graduated from Rocky Vista University College of Osteopathic Med in 2015, 11 years ago. Practices with Riverside Medical Clinic Inc, a 174-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Colorado.

Years since qualifying
11
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
CA, CO
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

21634 Retreat Pkwy
Corona, CA 92883-6100
Phone: (951) 493-6916
Fax: (951) 826-8120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 W 16th St, Pueblo, CO 81003-2745 — (719) 584-4711

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 20A18831 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence TL.0005639 (CO)

Record details

NPI number1447631627
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 14, 2015
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2015 (11 years in practice)
Group practice Riverside Medical Clinic Inc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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