Active NPI
Jaylen Perez
- Day Training/Habilitation Specialist
- Los Angeles, CA
National Provider Identifier
1457242372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 840 N Avenue 66
Los Angeles, CA 90042-1508 - Phone
- (626) 395-7100
- NPI assigned
- Jul 10, 2025
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X | MPSS-YCSLKB | CA | |
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
840 N Avenue 66
Los Angeles, CA 90042-1508
Mailing address
46630 Vargas Rd
Indio, CA 92201-6142
Phone (760) 238-0145
Other practice location 1
835 Highland Springs Ave Ste 210
Beaumont, CA 92223-5771
Phone (626) 395-7100
Other practice location 2
47923 Oasis St
Indio, CA 92201-9203
Phone (760) 863-8283
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1457242372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46630 VARGAS RD",
"city": "INDIO",
"state": "CA",
"postal_code": "922016142",
"telephone_number": "760-238-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 N AVENUE 66",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900421508",
"telephone_number": "626-395-7100"
}
],
"practiceLocations": [
{
"address_1": "835 Highland Springs Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Beaumont",
"state": "CA",
"postal_code": "922235771",
"country_code": "US",
"telephone_number": "626-395-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "47923 Oasis St",
"address_purpose": "LOCATION",
"city": "Indio",
"state": "CA",
"postal_code": "922019203",
"country_code": "US",
"telephone_number": "760-863-8283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "JAYLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-10",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-YCSLKB",
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.