JACQUELYN ORELLANA – Physical Therapist, NPI 1316779713

JACQUELYN ORELLANA is a healthcare provider. based in Upland, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 306384 (CA). The NPI Number for JACQUELYN ORELLANA is 1316779713

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELYN ORELLANA
NPI
1316779713
Phone
(909) 985-8686
Address
846 W FOOTHILL BLVD STE C
Enumeration Date
15 August 2024
Last Update Date
15 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
9099858686
Graduation Year
2024 (2 years ago)
PAC ID
8123569472
Group Practice PAC ID
9830268432
Professional Enrollment ID
I20240926001154
Address ID
CA917863784UP846XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for JACQUELYN ORELLANA

  • 846 W FOOTHILL BLVD STE C

    UPLAND, CA 917863784

    Phone: (909) 985-8686

    Fax: (909) 985-5706

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240926001154IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91786)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830268432View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do payers reference JACQUELYN ORELLANA?
For JACQUELYN ORELLANA, use NPI 1316779713 as the unique 10-digit identifier.
Active or inactive — what applies to JACQUELYN ORELLANA?
You should see JACQUELYN ORELLANA as active in CMS-hosted NPPES data.
What clinical focus is listed for JACQUELYN ORELLANA?
At a glance, JACQUELYN ORELLANA is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with JACQUELYN ORELLANA?
Directory geography for JACQUELYN ORELLANA centers on Upland, California.
Can I trust this NPI listing for JACQUELYN ORELLANA?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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