Active NPI
Jazalyn Nunez, RPA
- Psychologist
- La Mesa, CA
National Provider Identifier
1265148449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSB94027222
- Practice address
- 9029 Park Plaza Dr Ste 101
La Mesa, CA 91942-3450 - Phone
- (888) 688-0248
- NPI assigned
- Jan 30, 2023
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSB94027222 | CA | Primary |
Addresses
Primary practice location
9029 Park Plaza Dr Ste 101
La Mesa, CA 91942-3450
Mailing address
4 Corte Straza
Lake Elsinore, CA 92532-0218
Phone (540) 645-9435
Other practice location 1
3555 Kenyon St Ste 101
San Diego, CA 92110-5341
Phone (619) 600-0683
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94027222 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Guidance & Therapy Center of Southern California | Past | Accepting new patients | |
| Plan-It Life, Inc. | 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Jurupa Valley, CA
- NPI 1538688585
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1780989301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1265148449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CORTE STRAZA",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925320218",
"telephone_number": "540-645-9435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9029 PARK PLAZA DR STE 101",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423450",
"telephone_number": "888-688-0248"
}
],
"practiceLocations": [
{
"address_1": "3555 Kenyon St Ste 101",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921105341",
"country_code": "US",
"telephone_number": "619-600-0683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUNEZ",
"first_name": "JAZALYN",
"name_prefix": "Miss",
"credential": "RPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSB94027222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.