Active NPI
Jake Pestana
- Community Health Worker
- Taunton, MA
National Provider Identifier
1205580149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 350 Myles Standish Blvd
Taunton, MA 02780-7387 - Phone
- (508) 824-1355
- NPI assigned
- Feb 9, 2022
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
350 Myles Standish Blvd
Taunton, MA 02780-7387
Mailing address
607 Pleasant St
Attleboro, MA 02703-2570
Phone (508) 324-0328
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massachusetts Mentor LLC | Past | Accepting new patients | |
| SB Transitional Sub, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Brockton, MA
- NPI 1952981862
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1962091173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1205580149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 PLEASANT ST",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027032570",
"telephone_number": "508-324-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 MYLES STANDISH BLVD",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027807387",
"telephone_number": "508-824-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESTANA",
"first_name": "JAKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-09",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.