Active NPI
Jeremymark Americo Reese
- Peer Specialist
- Lancaster, CA
National Provider Identifier
1124817234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-XZWNDP
- Practice address
- 44505 90TH St W
Lancaster, CA 93536-7705 - Phone
- (661) 499-6949
- NPI assigned
- May 5, 2025
- Last updated
- May 5, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-XZWNDP | CA | Primary |
Addresses
Primary practice location
44505 90TH St W
Lancaster, CA 93536-7705
Mailing address
44505 90TH St W
Lancaster, CA 93536-7705
Phone (661) 499-6949
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 |
|---|---|---|---|
| MPSS-XZWNDP | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1124817234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44505 90TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935367705",
"telephone_number": "661-499-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44505 90TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935367705",
"telephone_number": "661-499-6949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "JEREMYMARK",
"middle_name": "AMERICO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-XZWNDP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
- Kevin Reddig
- Portia Latrice Reddy, LMFT
- Rees-Taylor LLC (Strawberry Fields)
- Demeiia Reese, CAMS-I
- Jacqueline Reese, PSYD., LMFT
- John Ray Reese
- Rosa Regalado
- Reginald Sampson MD a Professional Corporation
- Reginald Sampson MD a Professional Corporation (Hull Eye Surgery Center)
- Regional Care Pharmacy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.