Active NPI
Jamie L Spotville
- Clinical Social Worker
- Loma Linda, CA
National Provider Identifier
1114442043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ACSW133839
- Practice address
- 11234 Anderson St
Loma Linda, CA 92350-1716 - Phone
- (909) 558-4000
- NPI assigned
- Aug 11, 2017
- Last updated
- Dec 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ACSW133839 | CA | Primary |
Addresses
Primary practice location
11234 Anderson St
Loma Linda, CA 92350-1716
Mailing address
11660 Church St
Rancho Cucamonga, CA 91730-8917
Phone (909) 714-0279
Other practice location 1
12139 Mount Vernon Ave Ste 105
Grand Terrace, CA 92313-5500
Phone (909) 222-0096
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW133839 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alondra Loya | Case Manager/Care Coordinator | Past | Accepting new patients |
| Telecare Corporation | Past | Accepting new patients | |
| Breaking Cycles Counseling | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Case Manager/Care Coordinator
- Fontana, CA
- NPI 1568160828
-
- Clinical Social Worker
- Grand Terrace, CA
- NPI 1972284958
-
- Health Maintenance Organization
- San Bernardino, CA
- NPI 1770741282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1114442043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11660 CHURCH ST",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917308917",
"telephone_number": "909-714-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923501716",
"telephone_number": "909-558-4000"
}
],
"practiceLocations": [
{
"address_1": "12139 Mount Vernon Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Grand Terrace",
"state": "CA",
"postal_code": "923135500",
"country_code": "US",
"telephone_number": "909-222-0096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPOTVILLE",
"first_name": "JAMIE",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-11",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ACSW133839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.