Active NPI
Monica Jasmine Cisneros I, N/A
- Mental Health Occupational Therapist
- Antioch, CA
National Provider Identifier
1922656636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- Practice address
- 1600 Buchanan Rd Apt 14
Antioch, CA 94509-4241 - Phone
- (925) 529-2183
- NPI assigned
- Aug 27, 2019
- Last updated
- Aug 27, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | NU | Primary |
Addresses
Primary practice location
1600 Buchanan Rd Apt 14
Antioch, CA 94509-4241
Mailing address
1600 Buchanan Rd Apt 14
Antioch, CA 94509-4241
Phone (925) 529-2183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6555555555 | Medicaid | CA |
Other names 1
- Ms. Monica Jasmine Cisneros I
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1922656636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 BUCHANAN RD APT 14",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945094241",
"telephone_number": "925-529-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 BUCHANAN RD APT 14",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945094241",
"telephone_number": "925-529-2183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CISNEROS",
"first_name": "MONICA",
"middle_name": "JASMINE",
"name_prefix": "Ms.",
"name_suffix": "I",
"credential": "N/A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6555555555",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1600 Buchanan Rd Apt 14",
"city": "Antioch",
"state": "CA",
"country_code": "US",
"postal_code": "945094241",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MONICA",
"last_name": "CISNEROS",
"middle_name": "JASMINE",
"prefix": "MS.",
"suffix": "I",
"credential": "N/A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.