Jamie Delloro Tibon, - Medicare Nurse Practitioner in Torrance, CA

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Jamie Delloro Tibon, is a medicare enrolled "Nurse Practitioner - Family" in Torrance, California. His current practice location is 1000 W Carson St, Torrance, California. You can reach out to his office (for appointments etc.) via phone at (949) 270-2100.

Jamie Delloro Tibon is licensed to practice in California (license number NP95007795) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194230805.

Contact Information

Jamie Delloro Tibon,
1000 W Carson St,
Torrance, CA 90502-2004
(949) 270-2100
(949) 650-4458

Map and Direction




Provider's Profile

Full NameJamie Delloro Tibon
GenderMale
SpecialityNurse Practitioner - Family
Location1000 W Carson St, Torrance, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194230805
  • Provider Enumeration Date: 12/05/2017
  • Last Update Date: 02/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557629847
  • Enrollment ID: I20171214000274

Medical Identifiers

Medical identifiers for Jamie Delloro Tibon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194230805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP95007795 (California)Primary
363L00000XNurse Practitioner NP95007795 (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jamie Delloro Tibon allows following entities to bill medicare on his behalf.
Entity NameShare Our Selves Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508073685
PECOS PAC ID: 4789854993
Enrollment ID: O20110825000722

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamie Delloro Tibon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jamie Delloro Tibon,
20151 Sw Birch St Ste 100,
Newport Beach, CA 92660-1794

Ph: (949) 270-2100		Jamie Delloro Tibon,
1000 W Carson St,
Torrance, CA 90502-2004

Ph: (949) 270-2100

Reviews and Comments


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Shannan Ann Stephenson, N.P.
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Practice Location: 1000 W Carson St, Torrance, CA 90502
Phone: 310-222-4160    Fax: 310-320-2271

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.