Jessica Blair Simandjuntak, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-308269 Issued in CA

Practice address

1331 Barton Rd
Redlands, CA 92373-1487

Phone

(909) 572-8280

NPI assigned

Feb 7, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1770422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1508717216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 BARTON RD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923731487",
            "telephone_number": "909-572-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 BARTON RD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923731487",
            "telephone_number": "909-572-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMANDJUNTAK",
        "first_name": "JESSICA",
        "middle_name": "BLAIR",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-07",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "95176001",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "L-308269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adina P. Silva, MFT
• Ambawalage Sanduni Madushani Silva
• Jocynthia De Jesus Silva, FNP
• Jenelle Meredith Silvers, DDS
• Silverscreen Healthcare Inc.
• Katarzyna Magdalena Simmons, CCC-SLP
• Ginger Simonton, LMFT
• Eileen Sin, SLP
• Colette Diane Sinclair, MA, LEP
• Jogendra Singh, PMHNP

• Lactation Consultant (Registered Nurse) in Redlands, CA
• Providers in Redlands, CA by specialty
• Lactation Consultant (Registered Nurse) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.