Active NPI
Abraham Jara
- Counselor
- Rancho Cucamonga, CA
National Provider Identifier
1700324787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 9500 Haven Ave
Rancho Cucamonga, CA 91730-5807 - Phone
- (909) 980-6700
- NPI assigned
- Feb 9, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
9500 Haven Ave
Rancho Cucamonga, CA 91730-5807
Mailing address
27261 Las Ramblas Ste 220
Mission Viejo, CA 92691-6468
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1700324787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27261 LAS RAMBLAS STE 220",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 HAVEN AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305807",
"telephone_number": "909-980-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARA",
"first_name": "ABRAHAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-09",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"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 Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.