Joseph Jerry Armendarez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33718 Issued in CA

Practice address

1550 Harbor Blvd Ste 200
West Sacramento, CA 95691-3828

Phone

(530) 302-5791

NPI assigned

Jun 18, 2018

Sex

Male

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

Credentials

Doctor of Philosophy

State licenses

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.

• Pacific Clinics

  • Community/Behavioral Health Agency
  • Pasadena, CA
  • NPI 1992463020
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1437643939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 HARBOR BLVD STE 200",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913828",
            "telephone_number": "530-302-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 HARBOR BLVD STE 200",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913828",
            "telephone_number": "530-302-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENDAREZ",
        "first_name": "JOSEPH",
        "middle_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samira Arbabian, PHARMD.
• Nelly Jazmin Arceo Fabian, LVN
• Archana Wakode, DDS, Inc
• Melinda Arellano
• Shelley Arizaga
• Christine Arneson
• Vinh Au
• Vanessa Avila-Pons
• Arif Azeem, AA SAC TRANSPORT
• Angela Baker

• Clinical Psychologist in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.