Active NPI
Lesli Jaimes
- Community Health Worker
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Group Homes, Inc. | Case Manager/Care Coordinator | Current | 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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- West Covina, CA
- NPI 1396297172
Case Manager/Care Coordinator
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- La Verne, CA
- NPI 1285186981
Case Manager/Care Coordinator
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.