Jacquelyn Nicole Fillingham
Medical Specialty
Professional ID
- NPI: 1528433752
- PECOS ID: 8820395353
- Enrollment ID: I20160329002098
- Credential(MD, DO, DPM):
- Medical School: University Of Southern California School Of Medicine
- Medical School Graduation Year: 2015
Hospital Service
- Hospital CCN1: 050696
- Business Name (LBN)1: Keck Hospital Of Usc
- Hospital CCN2: 050057
- Business Name (LBN)2: Kaweah Delta Medical Center
Medical Practices
- Organization Name: Usc Care Medical Group Inc
- Group Practice ID assigned by PECOS: 0446157747
- Number of Group Practice member: 862
Location
- Address1: 1441 Eastlake Ave
- Address2: Suite 2424
- City: Los Angeles
- State: California
- Zip Code: 90089
- Phone Number: (323)442-2582
Location
Location
- Address1: 1520 San Pablo St
- Address2: Fl 4
- City: Los Angeles
- State: California
- Zip Code: 90033
- Phone Number: (800)872-2273
Location
- Address1: 1520 San Pablo St 1st Floor N
- Address2:
- City: Los Angeles
- State: California
- Zip Code: 90033
- Phone Number: (800)872-2273
Medical Practices
- Organization Name: Primary Anesthesia Services Pc
- Group Practice ID assigned by PECOS: 8921272329
- Number of Group Practice member: 37
Location
- Address1: 400 W Mineral King Ave
- Address2:
- City: Visalia
- State: California
- Zip Code: 93291
- Phone Number: (559)624-2000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):