Jennifer Renee Porter

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

626 W Lancaster Blvd # 61
Lancaster, CA 93534-3108

Phone

(909) 419-9278

NPI assigned

Jan 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Well California

  • Supports Brokerage Agency
  • Lancaster, CA
  • NPI 1679338578
  NPD Authorized official
• Community Well Recuperative Care

  • Lodging Provider
  • Santa Maria, CA
  • NPI 1982561270
  NPD Authorized official
• Operation Grace

  • Community Health Worker
  • San Bernardino, CA
  • NPI 1295685345
  NPD (past)
• Operation Grace

  • Case Management Agency
  • San Bernardino, CA
  • NPI 1912624891
  NPD (past)

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1700657038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 W LANCASTER BLVD # 61",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343108",
            "telephone_number": "909-419-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 W LANCASTER BLVD # 61",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343108",
            "telephone_number": "909-419-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mangairkarasie Poopalan, M.D.
• Krystal Pope, PHD
• Folasade Popoola, RN
• Shawnte' L Porchia
• Marco Porres
• Maranita Porter
• Lissa Yibell Portillo, LVN
• Necy Portillo
• Oshonda Louise Posey, RADT I
• Positive Behavior Services

• Community Health Worker in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.