Individual provider Active NPI

Jesselyn Soquena Fernandez, MS, LMFT, APCC

  • Marriage & Family Therapist
  • San Dimas, CA
National Provider Identifier
1932894052
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
160895 Issued in CA
Practice address
150 W Foothill Blvd Unit a
San Dimas, CA 91773-1103
Phone
(626) 507-3585
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 160895 CA Primary

Addresses

Primary practice location

150 W Foothill Blvd Unit a
San Dimas, CA 91773-1103

Mailing address

2050 N Tustin St # 1015
Orange, CA 92865-3902
Phone (951) 288-9388

Other practice location 1

2009 Palo Verde Ave
Long Beach, CA 90815-3322
Phone (562) 794-7008

Other practice location 2

4120 Birch St Ste 121
Newport Beach, CA 92660-2228
Phone (714) 540-9070

Other practice location 3

3055 Wilshire Blvd Ste 300
Los Angeles, CA 90010-1147
Phone (213) 375-3830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260217003475 CA Practitioner - Marriage and Family Therapist 7719467836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

150 W Foothill Blvd
Unit a
San Dimas, CA 91773-1103

2050 N Tustin St
Suite 1015
Orange, CA 92865-3902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
160895CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tumambing Hughes Marriage and Family Therapy Incorporated Marriage & Family Therapist CurrentSince Jan 20, 2026 Accepting new patients
New Wave Youth and Family Therapy Services Marriage & Family Therapist CurrentSince Oct 20, 2024 Accepting new patients
Modern Life Solutions, a Couples and Family Therapy Corporation Marriage & Family Therapist CurrentSince Mar 18, 2025 Accepting new patients

Locations

2009 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 743-2389

150 W Foothill Blvd
Unit A
San Dimas, CA 91773
Phone (626) 507-3585

150 W Foothill Blvd
San Dimas, CA 91773
Phone (626) 507-3585

Organizations & group practices 3

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": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1932894052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N TUSTIN ST # 1015",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653902",
            "telephone_number": "951-288-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W FOOTHILL BLVD UNIT A",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731103",
            "telephone_number": "626-507-3585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2009 Palo Verde Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908153322",
            "country_code": "US",
            "telephone_number": "562-794-7008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4120 Birch St Ste 121",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602228",
            "country_code": "US",
            "telephone_number": "714-540-9070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3055 Wilshire Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900101147",
            "country_code": "US",
            "telephone_number": "213-375-3830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JESSELYN",
        "middle_name": "SOQUENA",
        "credential": "MS, LMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "160895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.