Active NPI
Jessica Annie Yniguez, CADC-CAS
- Addiction (Substance Use Disorder) Counselor
- Bellflower, CA
National Provider Identifier
1851751622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 16314 Cornuta Ave
Bellflower, CA 90706-4814 - Phone
- (562) 461-9272
- Fax
- (562) 920-1960
- NPI assigned
- Mar 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | C23261214 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
16314 Cornuta Ave
Bellflower, CA 90706-4814
Mailing address
12426 Whittier Blvd
Whittier, CA 90602-1017
Phone (562) 944-7953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C23261214 | Other | CA | CCAPP CREDENTIALING |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C23261214 | CA | MD | Substance Abuse Rehabilitation Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients | |
| Southern California Alcohol and Drug Programs, Inc. | Substance Abuse Rehabilitation Facility | Past | Accepting new patients |
| Southern California Alcohol and Drug Programs, Inc. | Past | Accepting new patients | |
| Southern California Alcohol & Drug Programs, Inc. | Past | Accepting new patients |
Interoperability endpoints
- jessicayniguez-scadpinc@lacsapc.netsmartdirect.net
Organizations & group practices 4
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.
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
-
- Children's Substance Abuse Rehabilitation Facility
- Bellflower, CA
- NPI 1538258777
-
- Substance Abuse Rehabilitation Facility
- Whittier, CA
- NPI 1487198461
-
- Children's Substance Abuse Rehabilitation Facility
- Whittier, CA
- NPI 1972688547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1851751622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12426 WHITTIER BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021017",
"telephone_number": "562-944-7953",
"fax_number": "562-946-7494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16314 CORNUTA AVE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907064814",
"telephone_number": "562-461-9272",
"fax_number": "562-920-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YNIGUEZ",
"first_name": "JESSICA",
"middle_name": "ANNIE",
"name_prefix": "Miss",
"credential": "CADC-CAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "C23261214",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP CREDENTIALING",
"identifier": "C23261214",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.