Individual provider Active NPI

Yvette Adriana Rodriguez Jara

  • Social Worker
  • Duarte, CA
National Provider Identifier
1003149956
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW72302 Issued in CA
Practice address
1755 Huntington Dr
103
Duarte, CA 91010-2567
Phone
(626) 256-9195
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW72302 CA Primary

Addresses

Primary practice location

1755 Huntington Dr
103
Duarte, CA 91010-2567

Mailing address

321 1/2 W Colorado Blvd
Monrovia, CA 91016-6204
Phone (714) 944-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508000688 CA Practitioner - Clinical Social Worker 8426499401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psych PartnersGroup PAC ID 0840639746, 24 clinicians

Practice addresses (Care Compare)

27349 Jefferson Ave
Suite 111
Temecula, CA 92590-5610
Phone (951) 383-4460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW72302CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Partners a Prof Corp CurrentSince Sep 14, 2025 Accepting new patients
Psych Partners CurrentSince Apr 4, 2024 Accepting new patients

Locations

27349 Jefferson Ave
Ste 111
Temecula, CA 92590
Phone (949) 201-8260

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1003149956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 1/2 W COLORADO BLVD",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910166204",
            "telephone_number": "714-944-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 HUNTINGTON DR",
            "address_2": "103",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102567",
            "telephone_number": "626-256-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARA",
        "first_name": "YVETTE",
        "middle_name": "ADRIANA RODRIGUEZ",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW72302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

Verify at the official NPI Registry.