Individual provider Active NPI

Lesli Jaimes

  • Community Health Worker
  • West Covina, CA
National Provider Identifier
1750006912
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
3340 E Whitebirch Dr
West Covina, CA 91791-3039
Phone
(626) 430-6864
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

3340 E Whitebirch Dr
West Covina, CA 91791-3039

Mailing address

18652 Renault St
La Puente, CA 91744-6153
Phone (626) 806-0110

Other practice location 1

1923 E Eckerman Ave
West Covina, CA 91791-1113
Phone (626) 494-0927

Other practice location 2

1940 Baseline Rd
LA Verne, CA 91750-2148
Phone (909) 392-1344

Other practice location 3

670 W Baseline Rd
San Dimas, CA 91773-1492
Phone (909) 741-7124

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Group Homes, Inc. Case Manager/Care Coordinator CurrentSince Oct 16, 2022 Accepting new patients
Heritage Group Homes, Inc. Case Manager/Care Coordinator Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1750006912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18652 RENAULT ST",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917446153",
            "telephone_number": "626-806-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 E WHITEBIRCH DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913039",
            "telephone_number": "626-430-6864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1923 E Eckerman Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917911113",
            "country_code": "US",
            "telephone_number": "626-494-0927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917502148",
            "country_code": "US",
            "telephone_number": "909-392-1344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670 W Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917731492",
            "country_code": "US",
            "telephone_number": "909-741-7124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIMES",
        "first_name": "LESLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.