Active NPI
Japera Easterling Clavo
- Community Health Worker
- Elk Grove, CA
National Provider Identifier
1962993998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 9636 Ronaldo Falls Way
Elk Grove, CA 95624-4148 - Phone
- (916) 420-4659
- NPI assigned
- May 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | RBT-18-49455 | CA | |
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
9636 Ronaldo Falls Way
Elk Grove, CA 95624-4148
Mailing address
9636 Ronaldo Falls Way
Elk Grove, CA 95624-4148
Phone (916) 420-4659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1239857 | Other | CA | KAISER |
Other names 1
- Japhera Clavo
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 |
|---|---|---|---|
| RBT-18-49455 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1962993998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9636 RONALDO FALLS WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956244148",
"telephone_number": "916-420-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9636 RONALDO FALLS WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956244148",
"telephone_number": "916-420-4659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTERLING CLAVO",
"first_name": "JAPERA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-25",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-18-49455",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "1239857",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAPHERA",
"last_name": "CLAVO",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.