Individual provider Active NPI

Jazalyn Nunez, RPA

  • Psychologist
  • La Mesa, CA
National Provider Identifier
1265148449
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSB94027222 Issued in CA
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

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSB94027222CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Guidance & Therapy Center of Southern California PastSince Apr 11, 2021 Accepting new patients
Plan-It Life, Inc. PastSince Feb 1, 2023 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.

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.

Verify at the official NPI Registry.