Active NPI
Jessica Cazares Armenta
- Social Worker
- Rialto, CA
National Provider Identifier
1659892073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 110881
- Practice address
- 850 E Foothill Blvd
Rialto, CA 92376-5230 - Phone
- (909) 421-9472
- NPI assigned
- Jul 6, 2017
- Last updated
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | 110881 | CA | Primary |
Addresses
Primary practice location
850 E Foothill Blvd
Rialto, CA 92376-5230
Mailing address
11951 Hesperia Rd
Hesperia, CA 92345-1855
Other practice location 1
9500 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5871
Phone (909) 980-6700
Other practice location 2
1950 S Sunwest Ln Ste 200
San Bernardino, CA 92408-3248
Phone (909) 252-4010
Other practice location 3
11951 Hesperia Rd
Hesperia, CA 92345-1855
Phone (760) 956-2345
Other names 1
- Jessica Cazares
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 |
|---|---|---|---|
| 110881 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1659892073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11951 HESPERIA RD",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923451855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923765230",
"telephone_number": "909-421-9472"
}
],
"practiceLocations": [
{
"address_1": "9500 Haven Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Rancho Cucamonga",
"state": "CA",
"postal_code": "917305871",
"country_code": "US",
"telephone_number": "909-980-6700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1950 S Sunwest Ln Ste 200",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924083248",
"country_code": "US",
"telephone_number": "909-252-4010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11951 Hesperia Rd",
"address_purpose": "LOCATION",
"city": "Hesperia",
"state": "CA",
"postal_code": "923451855",
"country_code": "US",
"telephone_number": "760-956-2345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARMENTA",
"first_name": "JESSICA",
"middle_name": "CAZARES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-06",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "110881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "CAZARES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.