Jessica Sananes

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

39020000X Issued in CA

Practice address

1330 Lincoln Ave Ste 201
San Rafael, CA 94901-2142

Phone

(415) 459-5999

NPI assigned

Jul 30, 2025

Last updated

Jul 30, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Community Institute for Psychotherapy

  • Voluntary or Charitable Agency
  • San Rafael, CA
  • NPI 1760403794
  NPD (past)
• Community Institute for Psychotherapy

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1780995258
  NPD (past)

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1023991536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PEPPER AVE",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949392172",
            "telephone_number": "415-290-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LINCOLN AVE STE 201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012142",
            "telephone_number": "415-459-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANANES",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "39020000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Rafael City Schools
• San Rafael Healthcare & Wellness Centre, LP
• San Rafael Operating Company LP (Pine Ridge Care Center)
• San Rafael Rehab
• San Rafael Smiles Dentistry, Prof. Corp (San Rafael Smiles Dentistry)
• Yazmin Mariana Sanchez Rodriguez
• Alissa Michelle Sanchez, P.T.
• Wendy A Sanchez, R.N.
• Russell Leonard Sandberg, MD
• Katharina I Sandizell, MA, MFT

• Student in an Organized Health Care Education/Training Program in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.