Jessica Mariane Patricio Rezende

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

64 Edith St
Petaluma, CA 94952-3272

Phone

(707) 364-6050

NPI assigned

Jul 11, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Rezende Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1215856554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 EDITH ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523272",
            "telephone_number": "707-364-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 EDITH ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523272",
            "telephone_number": "707-364-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICIO REZENDE",
        "first_name": "JESSICA MARIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-11",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "REZENDE",
            "credential": "TRAINEE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elizabeth Anne Pastore, PT
• Manasvi Patel, DDS
• Nital Patel, PHARM D
• Michelle Patino, RN
• Marissa C Patocchi
• Paul F. Campion, M.D.
• Frank Paula Jr.
• Brian Paulick
• Amadeu J Pavini
• Jesse Davidson Koa Pawid

• Student in an Organized Health Care Education/Training Program in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

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

Verify at the official NPI Registry.