Active NPI
Jena Terese Rendon
- Social Worker
- Riverside, CA
National Provider Identifier
1255651576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4095 County Circle Dr
Riverside, CA 92503-3410 - Phone
- (951) 358-4606
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4095 County Circle Dr
Riverside, CA 92503-3410
Mailing address
16105 Promontory Rd
Chino Hills, CA 91709-2362
Phone (909) 606-3188
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276041600000",
"number": "1255651576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16105 PROMONTORY RD",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917092362",
"telephone_number": "909-606-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4095 COUNTY CIRCLE DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033410",
"telephone_number": "951-358-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDON",
"first_name": "JENA",
"middle_name": "TERESE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2010-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
- Renaissance Radiology Medical Group, Inc.
- Renaissance Radiology Medical Group, Inc.
- Renal Treatment Centers California Inc
- Emilie Alexia Renaud
- Erick Renderos
- David Reneau, RRW
- Renee Colleen Davis
- Renewing Hope Strategies
- Renovo Counseling Services, a Licensed Clinical Social Worker Corp.
- Arely Renteria
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.