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Sara L Jackson

Nurse Practitioner β€’ Chino, CA

Active NPI 1689223646 Individual Practitioner Female Practitioner
Practice location in NPPES

5562 Philadelphia St Ste 303
Chino, CA 917102499

Call 1486843712 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5562 Philadelphia St Ste 303

Chino, CA 917102499

Telephone 1486843712
Organization at the Same NPPES Address or Phone
Transtreme, Llc Facility NPI 1003290453

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $11.53 in 2021

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2021.

Guide: How to read an Open Payments record

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chino and California

16 active clinicians are listed under Nurse Practitioner with a practice address in Chino, CA (8,237 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chino

0% of these 16 clinicians have the CMS telehealth indicator.

37.5% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2021

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $11.53.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Food and Beverage
In-kind items and services
RESONATE General $11.53

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-05-27
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES CA NP95016889

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location May 27, 2021

Registered at 5562 PHILADELPHIA ST STE 303, CHINO, CA 917102499 (Tel: 1486843712)

πŸ“
Updated Business Mailing Address May 27, 2021

Registered at 5562 PHILADELPHIA ST STE 301, CHINO, CA 917102499 (Tel: 7135895283)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2021

Nurse Practitioner (license number reported to NPPES: CA NP95016889)

βœ…
NPI Profile Active September 11, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 11, 2019

Registered at 16453 BEAR VALLEY RD, HESPERIA, CA 923451752 (Tel: 8007224777)

πŸ“
Business Mailing Address (Initial Record) September 11, 2019

Registered at 16453 BEAR VALLEY RD, HESPERIA, CA 923451752

πŸ‘€
Provider Name / Credentials (Initial Record) September 11, 2019

Recorded as SARA JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2019

Registered Nurse (license number reported to NPPES: CA 792097)

🟒
Initial NPI Registration & Enumeration September 11, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689223646
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2019
Last Update: May 27, 2021
Sole Proprietor: No

Other Nurse Practitioners in Chino

All Nurse Practitioners in Chino

Mailing Address

5562 Philadelphia St Ste 301

Chino, CA 917102499

Phone: 7135895283

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.