Jessica Pelayo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1900 Sycamore Canyon Rd
San Dimas, CA 91773-1220

Phone

(909) 599-2391

NPI assigned

Oct 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Camp Glen Rockey

  • Psychiatric Residential Treatment Facility
  • San Dimas, CA
  • NPI 1841443918
  NPD (past)

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1336576131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SYCAMORE CANYON RD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731220",
            "telephone_number": "909-599-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SYCAMORE CANYON RD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731220",
            "telephone_number": "909-599-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAYO",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swarnalipi Pattanaik, RN
• Christopher Scott Patterson, D.P.T.
• Grant Andrew Paul
• Jabril Pearson
• Corbett G Peek, MD
• Alejandra Pena
• Lori Pendroff
• Daisy Jeanete Peralta, BA PSYCHOLOGY
• Grizelle Esperanza Peralta
• Cady Fabiola Perez

• Clinical Social Worker in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.