Jessica Echeverria

Primary specialty

Social WorkerTaxonomy code 104100000X

License

89915 Issued in CA

Practice address

3870 Rosin CT Ste 130
Sacramento, CA 95834-1647

Phone

(916) 441-0226

Fax

(916) 441-0286

NPI assigned

Aug 10, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1134538697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10060 CAPETOWN LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197254",
            "telephone_number": "209-670-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 ROSIN CT STE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341647",
            "telephone_number": "916-441-0226",
            "fax_number": "916-441-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVERRIA",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "89915",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewelena Rene Echeagaray, RDA
• Love Echema Ibe
• Caroline Echevarria Cochran
• Kayla Echevarria-Ures, CADC-CAS
• Gilberto Echevarria III
• Mireya Echeverria
• Cesar Echeverry, DDS
• Rodolfo Encina Echipare Sr., RN
• Rose Amongin Echoku
• Bryant Lenard Echols Jr.

• Social Worker in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.