Jessil Angelina Plenos

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1858817 Issued in CA

Practice address

744 Empire St
Fairfield, CA 94533

Phone

(707) 416-0480

NPI assigned

Sep 28, 2018

Last updated

Nov 8, 2018By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1841775574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR BLDG 10",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 EMPIRE ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "707-416-0480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 Georgia St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945906239",
            "country_code": "US",
            "telephone_number": "707-319-3780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 Georgia St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945906239",
            "country_code": "US",
            "telephone_number": "707-319-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLENOS",
        "first_name": "JESSIL",
        "middle_name": "ANGELINA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "1858817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Planinz
• Planned Paranthood Shasta Diablo Inc (Planned Parenthood Northern California)
• Marilyn Platero
• Andrea Renee Platt
• Jaclyn Pledger
• Timothy S. Plimpton, MD
• Edward PO, DDS
• Jonathan PO, D.D.S
• Rosanna Polanco-Fierro, ASW
• Alisha Polido

• Behavior Technician in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.