Jessenia Yvette Perilla

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW102968 Issued in CA

Practice address

8337 Telegraph Rd Ste 300
Pico Rivera, CA 90660-4957

Phone

(562) 862-3644

Fax

(562) 865-5244

NPI assigned

Oct 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1225227671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH RD STE 300",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604957",
            "telephone_number": "562-862-3644",
            "fax_number": "562-865-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH RD STE 300",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604957",
            "telephone_number": "562-862-3644",
            "fax_number": "562-865-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERILLA",
        "first_name": "JESSENIA",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW67341",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW102968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Lynn Perdices, LMFT
• Carlos Julio Perez-Rodriguez, D.O.
• Amberlyn Perez
• Martha Alexandra Perez, A.A
• Rodolcita C Perez, LVN
• Cynthia Elizabeth Peters, LPT
• Phong T. Tran DDS, Inc
• Pico Rivera Chiropractic and Sports Medicine (Premiere Chiropractic and Sports Medicine)
• Pico Rivera Community Medical Clinic Inc
• Pico Rivera Gardens

• Clinical Social Worker in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.