Individual provider Active NPI

Jayzme A Perry, MSW

  • Clinical Social Worker
  • Temecula, CA
National Provider Identifier
1962015172
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118489 Issued in CA
Practice address
27393 Ynez Rd Ste 151
Temecula, CA 92591-4605
Phone
(951) 749-6593
NPI assigned
Aug 26, 2020
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118489 CA Primary

Addresses

Primary practice location

27393 Ynez Rd Ste 151
Temecula, CA 92591-4605

Mailing address

27494 Darlene Dr
Moreno Valley, CA 92555-2102
Phone (951) 464-1212

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
I20251208000401 CA Practitioner - Clinical Social Worker 8921591934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27494 Darlene Dr
Moreno Valley, CA 92555-2102

8337 Telegraph Rd
Suite 300
Pico Rivera, CA 90660-4988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118489CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Community Services LLC CurrentSince Aug 24, 2025 Accepting new patients
Pathways Community Services LLC CurrentSince Aug 24, 2025 Accepting new patients
Pathways Community Services LLC Current Accepting new patients

Locations

8337 Telegraph Rd
Ste 123
Pico Rivera, CA 90660
Phone (562) 207-4272

8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1962015172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27494 DARLENE DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552102",
            "telephone_number": "951-464-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27393 YNEZ RD STE 151",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914605",
            "telephone_number": "951-749-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JAYZME",
        "middle_name": "A",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "118489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.