Active NPI
Jessica Abissay Corral-Mangon
- School Social Worker
- Bakersfield, CA
National Provider Identifier
1639746407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 123325
- Practice address
- 5801 Sundale Ave
Bakersfield, CA 93309-7908 - Phone
- (661) 827-3100
- NPI assigned
- Jun 9, 2021
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 123325 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | |||
| Social Worker | 104100000X | ASW103413 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 123325 | CA |
Addresses
Primary practice location
5801 Sundale Ave
Bakersfield, CA 93309-7908
Mailing address
5801 Sundale Ave
Bakersfield, CA 93309-7908
Phone (661) 827-3100
Other practice location 1
3628 Stockdale Hwy
Bakersfield, CA 93309-2153
Phone (661) 322-1021
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 |
|---|---|---|---|
| ASW103413 | CA | MD | Social Worker |
| 123325 | CA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1639746407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 SUNDALE AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933097908",
"telephone_number": "661-827-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 SUNDALE AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933097908",
"telephone_number": "661-827-3100"
}
],
"practiceLocations": [
{
"address_1": "3628 Stockdale Hwy",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933092153",
"country_code": "US",
"telephone_number": "661-322-1021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORRAL-MANGON",
"first_name": "JESSICA",
"middle_name": "ABISSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": "123325",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW103413",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "123325",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.