Active NPI
Jessica Penaloza
- Adult Companion
- Elk Grove, CA
National Provider Identifier
1104596030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 9412 Big Horn Blvd Ste 6
Elk Grove, CA 95758-1101 - Phone
- (916) 417-1049
- Fax
- (916) 226-2804
- NPI assigned
- Sep 13, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
9412 Big Horn Blvd Ste 6
Elk Grove, CA 95758-1101
Mailing address
9412 Big Horn Blvd Ste 6
Elk Grove, CA 95758-1101
Phone (916) 417-1049
Other practice location 1
3810 Rosin Ct Ste 180
Sacramento, CA 95834-1656
Phone (916) 283-8280
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point Community Programs - PSH | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Sacramento, CA
- NPI 1114054475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1104596030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9412 BIG HORN BLVD STE 6",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957581101",
"telephone_number": "916-417-1049",
"fax_number": "916-226-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9412 BIG HORN BLVD STE 6",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957581101",
"telephone_number": "916-417-1049",
"fax_number": "916-226-2804"
}
],
"practiceLocations": [
{
"address_1": "3810 Rosin Ct Ste 180",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958341656",
"country_code": "US",
"telephone_number": "916-283-8280",
"fax_number": "916-283-8259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENALOZA",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.