Individual provider Active NPI

Jessica Garcia Nava

  • Clinical Social Worker
  • Temecula, CA
National Provider Identifier
1194371716
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123518 Issued in CA
Practice address
27412 Enterprise Cir W Ste
Suite 200 and 205
Temecula, CA 92590
Phone
(951) 972-6262
NPI assigned
Aug 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Clinical Social Worker 1041C0700X 123518 CA Primary

Addresses

Primary practice location

27412 Enterprise Cir W Ste
Suite 200 and 205
Temecula, CA 92590

Mailing address

27412 Enterprise Cir W
Suite 200 and 205
Temecula, CA 92590-4803
Phone (951) 972-6262

Other practice location 1

1950 S Sunwest Ln
San Bernardino, CA 92408-3258
Phone (909) 252-4010

Other practice location 2

1556 S Sultana Ave
Ontario, CA 91761-4238
Phone (909) 418-6923

Other names 1

  • Jessica Garcia Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240827004762 CA Practitioner - Clinical Social Worker 7517406135 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123518CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffani Taft Marriage Family Therapy Professional Corporation CurrentSince Jul 30, 2024 Accepting new patients

Locations

27412 Enterprise Cir W
Ste 200205
Temecula, CA 92590
Phone (951) 971-6262

27412 Enterprise Cir W
Ste 200
Temecula, CA 92590
Phone (951) 972-6262

27412 Enterprise Cir W
Ste 205
Temecula, CA 92590
Phone (951) 387-8039

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1194371716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27412 ENTERPRISE CIR W",
            "address_2": "SUITE 200 AND 205",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904803",
            "telephone_number": "951-972-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27412 ENTERPRISE CIR W STE",
            "address_2": "SUITE 200 AND 205",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92590",
            "telephone_number": "951-972-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 S Sunwest Ln",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083258",
            "country_code": "US",
            "telephone_number": "909-252-4010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1556 S Sultana Ave",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917614238",
            "country_code": "US",
            "telephone_number": "909-418-6923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA NAVA",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "123518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GARCIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.