Individual provider Active NPI

Jessica Nohemy Sanchez

  • Behavior Technician
  • Mission Viejo, CA
National Provider Identifier
1275097404
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
23228 Madero
Mission Viejo, CA 92691-2706
Phone
(805) 419-5951
NPI assigned
Jan 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

23228 Madero
Mission Viejo, CA 92691-2706

Mailing address

70 S Jessie St
Pontiac, MI 48342-2816
Phone (248) 254-2616

Other practice location 1

5807 Topanga Canyon Blvd Apt B101
Woodland Hills, CA 91367-4615
Phone (805) 419-5951

Other practice location 2

91 N Saginaw St Ste G-101
Pontiac, MI 48342-2165
Phone (248) 977-5310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926002034 CA Practitioner - Marriage and Family Therapist 3375084643 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nebula Health, LLC CurrentSince Aug 17, 2024 Accepting new patients

Locations

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

5900 Brockton Ave
Riverside, CA 92506
Phone (800) 992-0901

6833 Indiana Ave
Ste 101
Riverside, CA 92506
Phone (657) 346-6319

806 Avenida Pico
#I330
San Clemente, CA 92673

Organizations & group practices 1

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1275097404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S JESSIE ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422816",
            "telephone_number": "248-254-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23228 MADERO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912706",
            "telephone_number": "805-419-5951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5807 Topanga Canyon Blvd Apt B101",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913674615",
            "country_code": "US",
            "telephone_number": "805-419-5951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 N Saginaw St Ste G-101",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483422165",
            "country_code": "US",
            "telephone_number": "248-977-5310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JESSICA",
        "middle_name": "NOHEMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.