Individual provider Active NPI

Jessica Annie Yniguez, CADC-CAS

  • Addiction (Substance Use Disorder) Counselor
  • Bellflower, CA
National Provider Identifier
1851751622
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C23261214OtherCACCAPP 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

LicenseStateTypeSpecialty
C23261214CAMDSubstance Abuse Rehabilitation Facility

Practice roles

OrganizationSpecialtyStatusNew 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. PastSince Aug 6, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.