Individual provider Active NPI

Jamie Lee Plaxco, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1295257269
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95010397 Issued in CA
Practice address
550 N Flower St
Santa Ana, CA 92703-2361
Phone
(205) 908-9172
NPI assigned
Jul 12, 2017
Last updated
Dec 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95010397 CA Primary

Addresses

Primary practice location

550 N Flower St
Santa Ana, CA 92703-2361

Mailing address

9825 Magnolia Ave Ste B
Riverside, CA 92503-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010397CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Psychiatry PC CurrentSince Sep 23, 2019 Accepting new patients
Segal Telepsychiatry Network CurrentSince Dec 20, 2020 Accepting new patients
Step Up on Second Street Inc. CurrentSince Sep 5, 2019 Accepting new patients
Cep America - Psychiatry PC CurrentSince Sep 23, 2019 Accepting new patients
Segal Telepsychiatry Network, PLLC CurrentSince Nov 6, 2022 Accepting new patients
Cep America - Psychiatry PC Current Accepting new patients
Redwood Quality Management Company, Inc. CurrentSince Aug 10, 2019 Accepting new patients
Step Up on Second Street, Inc. CurrentSince Sep 5, 2019 Accepting new patients
Redwood Quality Management Company, Inc. Current Accepting new patients
Smith Psychiatry LLC Psychiatric/Mental Health Past Accepting new patients
Mental Health Practitioners Psychiatric/Mental Health Past Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

655 Redwood Hwy Frontage Rd
Ste 240
Mill Valley, CA 94941
Phone (866) 247-4292

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

350 E Gobbi St
Ukiah, CA 95482
Phone (707) 472-0350

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1295257269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 MAGNOLIA AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N FLOWER ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032361",
            "telephone_number": "205-908-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAXCO",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95010397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.