Active NPI
Jessica Ocoboc, PPS CREDENTIAL
- School Psychologist
- Anaheim, CA
National Provider Identifier
1073096970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2989
- Practice address
- 1001 S East St
Anaheim, CA 92805-5749 - Phone
- (714) 517-7500
- NPI assigned
- Sep 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2989 | CA | Primary |
Addresses
Primary practice location
1001 S East St
Anaheim, CA 92805-5749
Mailing address
1001 S East St
Anaheim, CA 92805-5749
Phone (714) 517-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1073096970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S EAST ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928055749",
"telephone_number": "714-517-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S EAST ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928055749",
"telephone_number": "714-517-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCOBOC",
"first_name": "JESSICA",
"credential": "PPS CREDENTIAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "2989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.