Active NPI
Jesse Drucker
- Behavior Analyst
- Santa Rosa, CA
National Provider Identifier
1851893267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0135
- Practice address
- 1335 N Dutton Ave
Santa Rosa, CA 95401-4609 - Phone
- (855) 223-7123
- Fax
- (619) 374-7134
- NPI assigned
- Mar 1, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0135 | NE | Primary |
| Behavior Technician | 106S00000X | CA |
Addresses
Primary practice location
1335 N Dutton Ave
Santa Rosa, CA 95401-4609
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (855) 223-7123
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 |
|---|---|---|---|
| 0135 | NE | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1851893267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16782 VON KARMAN AVE STE 11",
"city": "IRVINE",
"state": "CA",
"postal_code": "926062417",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 N DUTTON AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014609",
"telephone_number": "855-223-7123",
"fax_number": "619-374-7134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUCKER",
"first_name": "JESSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-01",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NE",
"license": "0135",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
- Erica Lynn Dresslove, MA
- Drew Hittenberger and Associates
- Naomi Dreyer, MS, CCC-SLP
- James Andrew Driscoll, M.D.
- DRS. Ackley, Davis, Brewer, Miraglia, Anaka, Et Al. (Pediatric Associates Sutter)
- Drug Abuse Alternatives Center (DUI Court Program)
- Drug Abuse Alternatives Center
- Drug Abuse Alternatives Center (Outpatient)
- Drug Abuse Alternatives Center (Turning Point Arrowood)
- Drug Abuse Alternatives Center (Drug Court)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.