Individual provider Active NPI

Cristina Sanchez-Jaquez, MD

  • Psychiatry Physician
  • Ammon, ID
National Provider Identifier
1447448659
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-21973 Issued in HI
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

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MO5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160212001703 ID Practitioner - Psychiatry 4385807759 Reassigns benefits to 1 organization
I20210119000910 TX Practitioner - Psychiatry 4385807759 Reassigns benefits to 3 organizations
I20220315001145 HI Practitioner - Psychiatry 4385807759 Reassigns benefits to 4 organizations
I20250130001259 CA Practitioner - Psychiatry 4385807759 Reassigns benefits to 1 organization
I20260513000241 MO Practitioner - Psychiatry 4385807759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearl Health ClinicGroup PAC ID 0840356077, 38 clinicians

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

LicenseStateTypeSpecialty
171641CAMDPsychiatry Physician
MD-21973HIMDPsychiatry Physician
ME119735FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spindletop MHMR Services Current Accepting new patients
The Queen's Medical Center Current Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Feb 16, 2025 Accepting new patients
Cottage Clinical Associates CurrentSince Jan 15, 2025 Accepting new patients
Compass Mental Health and Wellness LLC CurrentSince Jul 1, 2021 Accepting new patients
Queens University Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Spindletop MHMR Services CurrentSince Aug 3, 2021 Accepting new patients
The Queens Medical Center CurrentSince Mar 1, 2022 Accepting new patients
North Hawaii Community Hospital CurrentSince Feb 16, 2025 Accepting new patients
The Queens Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Pearl Health Clinic CurrentSince Jan 18, 2016 Accepting new patients
Anthony Benigno, PSYD., Psychological Services, PC PastSince May 12, 2024 Accepting new patients
Eastern Idaho Health Services Inc Past Accepting new patients
Cottage Medical Foundation PastSince Jul 1, 2025 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

  • Direct secure messaging: csanchezjaquez@direct.wtbyhosp.org
  • Direct secure messaging: 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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.