Jeron Robert Jache, CPSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-WTYVJK Issued in CA

Practice address

9909 Huennekens St Ste 110
San Diego, CA 92121-2928

Phone

(858) 500-8000

Fax

(858) 864-1429

NPI assigned

Aug 3, 2026

Last updated

Aug 3, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

• Prosperous Health San Diego, LLC

  dba San Diego Transformation Center

  • Adult Mental Health Clinic/Center
  • San Diego, CA
  • NPI 1245037019
  NPD (past)

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1710800057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 HUENNEKENS ST STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212928",
            "telephone_number": "858-500-8000",
            "fax_number": "858-864-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 HUENNEKENS ST STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212928",
            "telephone_number": "858-500-8000",
            "fax_number": "858-864-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACHE",
        "first_name": "JERON",
        "middle_name": "ROBERT",
        "credential": "CPSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-WTYVJK",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moussa Jabbour, M.D.
• Charles Kasmir Jablecki, M.D.
• Amanda Jablon, LCSW
• Maryam Jabri
• Mark N. Jabro, M.D.
• Gabrielle Jacinto, AMFT
• Julie Jacinto
• Lia Jacinto
• Jack C Yang MD a Medical Corporation
• Jack Harouni DDS Inc.

• Peer Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Peer Specialist in California

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

Verify at the official NPI Registry.