Active NPI
Jessica Teress Chavez
- Clinical Social Worker
- Rancho Cucamonga, CA
National Provider Identifier
1528615150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 139061
- Practice address
- 7365 Carnelian St Ste 231
Rancho Cucamonga, CA 91730-1136 - Phone
- (661) 418-1129
- NPI assigned
- Aug 19, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 139061 | CA | Primary |
| Community Health Worker | 172V00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
7365 Carnelian St Ste 231
Rancho Cucamonga, CA 91730-1136
Mailing address
9517 Rea Ave
California City, CA 93505-4831
Phone (661) 418-1129
Other practice location 1
602 Woodlark Dr
Suisun City, CA 94585-2244
Phone (661) 418-1129
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139061 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1528615150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9517 REA AVE",
"city": "CALIFORNIA CITY",
"state": "CA",
"postal_code": "935054831",
"telephone_number": "661-418-1129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7365 CARNELIAN ST STE 231",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301136",
"telephone_number": "661-418-1129"
}
],
"practiceLocations": [
{
"address_1": "602 Woodlark Dr",
"address_purpose": "LOCATION",
"city": "Suisun City",
"state": "CA",
"postal_code": "945852244",
"country_code": "US",
"telephone_number": "661-418-1129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAVEZ",
"first_name": "JESSICA",
"middle_name": "TERESS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "139061",
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.