Jamie Blanco

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3710 Issued in CA

Practice address

1940 Baseline Rd
La Verne, CA 91750-2148

Phone

(909) 392-1344

Fax

(909) 392-1344

NPI assigned

Oct 22, 2018

Last updated

Dec 8, 2022By the provider in NPPES

Sex

Female

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.

• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Phillips Ranch, CA
  • NPI 1013469881
  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • La Verne, CA
  • NPI 1285186981
  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Covina, CA
  • NPI 1306398185
  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Covina, CA
  • NPI 1396297172
  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Valinda, CA
  • NPI 1467904235
  NPD (past)

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1063988699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 BASELINE RD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 BASELINE RD",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917502148",
            "telephone_number": "909-392-1344",
            "fax_number": "909-392-1344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 W Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917731492",
            "country_code": "US",
            "telephone_number": "909-741-7124",
            "fax_number": "909-741-7124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Country Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Phillips Ranch",
            "state": "CA",
            "postal_code": "917664818",
            "country_code": "US",
            "telephone_number": "909-623-3400",
            "fax_number": "909-623-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16226 E. Benwick St.",
            "address_purpose": "LOCATION",
            "city": "Valinda",
            "state": "CA",
            "postal_code": "917449174",
            "country_code": "US",
            "telephone_number": "626-917-0857",
            "fax_number": "626-917-0857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3340 E Whitebirch Dr",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917913039",
            "country_code": "US",
            "telephone_number": "626-430-6864",
            "fax_number": "626-430-6864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1923 E Eckerman Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917911113",
            "country_code": "US",
            "telephone_number": "626-332-4600",
            "fax_number": "626-332-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "3710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette L. Brennecke, LCSW, Inc.
• Elijah Elias Bernal, RPH
• Krupa Bhakta
• Vipul Bhavani, PHARMD
• Elizabeth Ellen Blackstock, OTR/L
• Blessed Health Care Provider Inc
• Rebecca Bobadilla
• Joan Boothby
• Osama Boules
• Brian Craig Boyer, O.D.

• Professional Counselor in La Verne, CA
• Providers in La Verne, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.