Jose Jaime Bedolla

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056

Phone

(805) 289-0120

Fax

(805) 289-0130

NPI assigned

Dec 1, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Aspira Foster & Family Services - Ventura

  • Community/Behavioral Health Agency
  • Camarillo, CA
  • NPI 1215071899

  Case Manager/Care Coordinator

  NPD
• Aspiranet

  • Community/Behavioral Health Agency
  • Camarillo, CA
  • NPI 1255130993

  Case Manager/Care Coordinator

  NPD

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1427768282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CALLE TECATE STE 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125290",
            "telephone_number": "805-289-0120",
            "fax_number": "805-289-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CALLE TECATE STE 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125056",
            "telephone_number": "805-289-0120",
            "fax_number": "805-289-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOLLA",
        "first_name": "JOSE",
        "middle_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASPIRA",
            "identifier": "56CC",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Jill Beck
• Sharon Louise Beck, MSW, LCSW
• Timothy Beckett
• George Bedarian, LVN
• Guadalupe Bedolla
• Mary Bridget Beeman
• Behzad Ourmazdi, M.D. Inc
• Rebecca Belleville
• Monserrat Fiona Bello Rosete
• Diana Ireri Bello

• All providers in Camarillo, CA
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.