Active NPI
Jess Arcadio Renteria, PPS
- School Counselor
- Fremont, CA
National Provider Identifier
1972323962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 230222200
- Practice address
- 37720 Fremont Blvd
Fremont, CA 94536-5025 - Phone
- (510) 797-2071
- NPI assigned
- Oct 14, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 230222200 | CA | Primary |
Addresses
Primary practice location
37720 Fremont Blvd
Fremont, CA 94536-5025
Mailing address
1023 Sandalwood LN
Milpitas, CA 95035-3231
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 |
|---|---|---|---|
| 230222200 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1972323962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 SANDALWOOD LN",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950353231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37720 FREMONT BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365025",
"telephone_number": "510-797-2071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTERIA",
"first_name": "JESS",
"middle_name": "ARCADIO",
"credential": "PPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-14",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "230222200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.