Jairo Osmin Villalobos Tejada

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

112 Childrens Cir
Santa Rosa, CA 95409-6558

Phone

(707) 565-6350

Fax

(707) 565-6350

NPI assigned

Mar 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lifeworks of Sonoma County

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1619295839
  NPD
• County of Sonoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Rosa, CA
  • NPI 1306050828
  NPD (past)
• Lifeworks of Sonoma County

  • Mental Health Counselor
  • Santa Rosa, CA
  • NPI 1063557171
  NPD (past)

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1184371973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CHILDRENS CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954096558",
            "telephone_number": "707-565-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CHILDRENS CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954096558",
            "telephone_number": "707-565-6350",
            "fax_number": "707-565-6350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 N Dutton Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954017121",
            "country_code": "US",
            "telephone_number": "707-568-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALOBOS TEJADA",
        "first_name": "JAIRO",
        "middle_name": "OSMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-02",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria de Jesus Dalia Villagomez Pulido
• Adam John Villagomez, CSAC-II
• Charis Mandujano Villagomez
• Adrian Ventura Villalba, DC
• Josselyn Sarahy Villalobos Romero, LVN
• Josseline Anai Villalobos
• Vicente Villalobos
• Lisandro Villanueva, B.A.
• Erica Villarreal-Kone
• Cassandra Villatoro, CHW

• Day Training/Habilitation Specialist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.