Active NPI
Cristina Sanchez-Jaquez, MD
- Psychiatry Physician
- Ammon, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-21973
- Practice address
- 2705 E 17TH St
Ammon, ID 83406-6601 - Phone
- (203) 528-5643
- NPI assigned
- Oct 12, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 171641 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME119735 | FL | |
| Psychiatry Physician | 2084P0800X | MD-21973 | HI | Primary |
Addresses
Primary practice location
2705 E 17TH St
Ammon, ID 83406-6601
Mailing address
2705 E 17TH St
Ammon, ID 83406-6601
Phone (203) 528-5643
Other practice location 1
16465 Sierra Lakes Pkwy Ste 140
Fontana, CA 92336-1242
Phone (909) 244-9593
Other practice location 2
91-2301 Fort Weaver Rd
Ewa Beach, HI 96706-3602
Phone (808) 671-8511
Other practice location 3
777 Chippendale Pl
Cantonment, FL 32533-4661
Phone (203) 528-5643
Other practice location 4
2705 Lebanon Ave
El Paso, TX 79930-3209
Phone (203) 528-5643
Other practice location 5
630 Layne Blvd Apt 111
Hallandale Beach, FL 33009-8613
Phone (203) 528-5643
Other practice location 6
400 W Pueblo St
Santa Barbara, CA 93105-4353
Phone (805) 682-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, TX, HI, CA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-3423
2705 E 17TH St
Ammon, ID 83406-6601
Phone 2083467500506
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171641 | CA | MD | Psychiatry Physician |
| MD-21973 | HI | MD | Psychiatry Physician |
| ME119735 | FL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spindletop MHMR Services | Current | Accepting new patients | |
| The Queen's Medical Center | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| Cottage Clinical Associates | Current | Accepting new patients | |
| Compass Mental Health and Wellness LLC | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients | |
| Spindletop MHMR Services | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| North Hawaii Community Hospital | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| Pearl Health Clinic | Current | Accepting new patients | |
| Anthony Benigno, PSYD., Psychological Services, PC | Past | Accepting new patients | |
| Eastern Idaho Health Services Inc | Past | Accepting new patients | |
| Cottage Medical Foundation | Past | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients |
Locations
5333 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 879-4272
400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279
4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240
91-2301 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 671-8511
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
65-1267 Kawaihae Rd
Kamuela, HI 96743
Phone (808) 881-4745
2705 E 17th St
Ammon, ID 83406
2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203
3934 FM 1960 Rd W
Ste 210
Houston, TX 77068
Phone (281) 836-5452
Interoperability endpoints
- csanchezjaquez@direct.wtbyhosp.org
- csanchez@pearlhc.curemd.direct-ci.com
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Ammon, ID
- NPI 1447426465
-
- Psychiatry Physician
- Honolulu, HI
- NPI 1518688928
-
dba Mercy Clinic South Hospitalists
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
-
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
- NPI 1902461569
-
dba Cottage Children's Medical Group
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1235790544
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- Family Medicine Physician
- Beaumont, TX
- NPI 1952357550
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- Psychiatry Physician
- Laredo, TX
- NPI 1124060173
-
dba NHCH - Diabetes Wellness
- General Acute Care Hospital
- Kamuela, HI
- NPI 1831380724
-
- Mental Health Counselor
- Beaumont, TX
- NPI 1467517656
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1447448659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 E 17TH ST",
"city": "AMMON",
"state": "ID",
"postal_code": "834066601",
"telephone_number": "203-528-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 E 17TH ST",
"city": "AMMON",
"state": "ID",
"postal_code": "834066601",
"telephone_number": "203-528-5643"
}
],
"practiceLocations": [
{
"address_1": "16465 Sierra Lakes Pkwy Ste 140",
"address_purpose": "LOCATION",
"city": "Fontana",
"state": "CA",
"postal_code": "923361242",
"country_code": "US",
"telephone_number": "909-244-9593",
"fax_number": "833-903-0337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "91-2301 Fort Weaver Rd",
"address_purpose": "LOCATION",
"city": "Ewa Beach",
"state": "HI",
"postal_code": "967063602",
"country_code": "US",
"telephone_number": "808-671-8511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "777 Chippendale Pl",
"address_purpose": "LOCATION",
"city": "Cantonment",
"state": "FL",
"postal_code": "325334661",
"country_code": "US",
"telephone_number": "203-528-5643",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2705 Lebanon Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799303209",
"country_code": "US",
"telephone_number": "203-528-5643",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "630 Layne Blvd Apt 111",
"address_purpose": "LOCATION",
"city": "Hallandale Beach",
"state": "FL",
"postal_code": "330098613",
"country_code": "US",
"telephone_number": "203-528-5643",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W Pueblo St",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931054353",
"country_code": "US",
"telephone_number": "805-682-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANCHEZ-JAQUEZ",
"first_name": "CRISTINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "171641",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME119735",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD-21973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ammon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.