Jamie Irene Conklin

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

58923 Business Center Dr
Yucca Valley, CA 92284-7311

Phone

(760) 365-7206

NPI assigned

May 21, 2018

Last updated

Apr 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lutheran Social Services of Southern California

  • Community/Behavioral Health Agency
  • Yucca Valley, CA
  • NPI 1255778932
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1245721794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58923 BUSINESS CENTER DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847311",
            "telephone_number": "760-881-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58923 BUSINESS CENTER DR",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847311",
            "telephone_number": "760-365-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "JAMIE",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437555117",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariel Clark
• Tani L. Clayton
• Danielle Cline
• Sierra A Clutter, RADT
• Bernard N Cohen, MD
• Cyndi Conroy
• Analis Cook
• Michelle Ashley Couture, FNP
• Justine T. Cowles
• Hallecka A Crane

• Adult Companion in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Adult Companion in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.