Doctor profile · Federal record
Dr. JENNIFER MACCIO, ARNP
Pediatric Nurse Practitioner · Pediatric Nurse Practitioner · Pediatric Nurse Practitioner · NEWPORT BEACH, CA
- NPI 1720429152
- 13 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2071 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 926606505
(949) 759-1720
fax (949) 759-1442 - Mailing address
-
24422 AVENIDA DE LA CARLOTA STE 300
LAGUNA HILLS, CA 926533628
Credentials & registration
- NPI registered
- July 2013 — 13 yrs on file
- Profile last updated
- March 2, 2022
- Specialty taxonomy
- 363LP0200X — NUCC code
- State licenses (3)
- California #95015296 · Florida #RN9315548 · California #95011121
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720429152. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$55
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $19.93 | |
| Janssen Biotech, Inc. | 1 | $19.76 | |
| Seqirus USA Inc | 1 | $15.12 |