Desiree Carnell
Individual provider Active NPI Rehabilitation Practitioner · Jackson, CA
NPI 1508701640 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1508701640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 601 Court St Ste 100
Jackson, CA 95642-2162 - Phone
- (209) 257-1244
- NPI assigned
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Child & Family Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Yes |
Addresses
Primary practice location
601 Court St Ste 100
Jackson, CA 95642-2162
Mailing address
601 Court St Ste 100
Jackson, CA 95642-2162
Phone (209) 256-6874
Other providers in Jackson, CA
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- Lacy Calais
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- Juliana Emilia Campos
- Capital Eye Medical Group
- Doris Laurene Carr
- Cep America-California
- Kenny K. Charn
- Lynn Chastain
- Nhu-Y Nguyen Chau
All providers in Jackson, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.