Leticia Elva Cardenas

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-KUJIXT Issued in CA

Practice address

790 S State St Ste 6
San Jacinto, CA 92583-4924

Phone

(951) 658-7122

NPI assigned

Jan 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Institute for Family Centered Services Inc

  • Community/Behavioral Health Agency
  • San Jacinto, CA
  • NPI 1336896505

  Counselor

  NPD
• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1093902934
  NPD (past)
• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Tustin, CA
  • NPI 1396436077
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1326511635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W FLORIDA AVE STE B",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434628",
            "telephone_number": "951-658-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 S STATE ST STE 6",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834924",
            "telephone_number": "951-658-7122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7986 Dagget St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921112321",
            "country_code": "US",
            "telephone_number": "858-300-0460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "LETICIA",
        "middle_name": "ELVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-KUJIXT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dessire Calderon, B.A.
• Veronica Patricia Calderon
• Gloria Stephanie Campos
• Christina Campuzano
• Jessica Cardenas
• Caring Hospice Service
• Daniel Carrillo, INTERN
• Yesenia Castaneda
• Rachelle Belia Cazares, ASW
• Stevelaine Celestino, LMFT

• Peer Specialist in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.