Active NPI
Jennifer Yvonne Cervantes, MSW, ACSW
- Clinical Social Worker
- Jurupa Valley, CA
National Provider Identifier
1336829936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115210
- Practice address
- 3924 Riverview Dr
Jurupa Valley, CA 92509-6611 - Phone
- (951) 416-1111
- NPI assigned
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 115210 | CA | |
| Clinical Social Worker | 1041C0700X | 115210 | CA | Primary |
Addresses
Primary practice location
3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Mailing address
900 Corporate Center Dr Ste 350
Monterey Park, CA 91754-7620
Phone (323) 526-4016
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
| License | State | Type | Specialty |
|---|---|---|---|
| 115210 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alma Family Services | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Jurupa Valley, CA
- NPI 1821590605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1336829936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CORPORATE CENTER DR STE 350",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917547620",
"telephone_number": "323-526-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3924 RIVERVIEW DR",
"city": "JURUPA VALLEY",
"state": "CA",
"postal_code": "925096611",
"telephone_number": "951-416-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVANTES",
"first_name": "JENNIFER",
"middle_name": "YVONNE",
"credential": "MSW, ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "115210",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "115210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jurupa Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.