Candy Marie Jara
Individual provider Active NPI Licensed Vocational Nurse · Joshua Tree, CA
NPI 1134824196 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1134824196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 284182 (CA)
- Practice address
- 60805 29 Palms Hwy
Joshua Tree, CA 92252-5901 - Phone
- (760) 974-5990
- NPI assigned
- Mar 31, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284182 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Star Behavioral Health, Inc. | Past |
Accepting new patients | |
| Valley Star Behavioral Health, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 284182 | CA | Yes |
Addresses
Primary practice location
60805 29 Palms Hwy
Joshua Tree, CA 92252-5901
Mailing address
2500 N Palm Canyon Dr Ste A4
Palm Springs, CA 92262-1866
Phone (760) 424-5602
Other practice location 1
2500 N Palm Canyon Dr Ste A4
Palm Springs, CA 92262-1866
Phone (760) 424-5602
Other providers in Joshua Tree, CA
- Hi-Desert Medical Center
- Hi-Desert Medical Center Anesthesiology Group
- Lovely Chiffon Hodge
- Holistic Assisted Living Inc
- Daniel Injo
- Jin Nam Baek, DDS, Inc.
- Mary Ann Kelly
- Christopher Krzyzkowski
- John A Lambros
- Noreen Frances Lawlor
All providers in Joshua Tree, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.