Jacquelyn Victoria Aguilar Jimenez
Individual provider Active NPI Peer Specialist · Orland, CA
NPI 1104733518 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1104733518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 619 3Rd St
Orland, CA 95963-1340 - Phone
- (530) 865-1622
- NPI assigned
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CA | Yes |
Addresses
Primary practice location
619 3Rd St
Orland, CA 95963-1340
Mailing address
242 N Villa Ave
Willows, CA 95988-2641
Phone (530) 934-6582
Other providers in Orland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.