Individual provider Active NPI

Jessica Amanda Ateman, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1992098750
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109607 Issued in CA
Practice address
4371 Latham St
Riverside, CA 92501-1706
Phone
(833) 867-4642
NPI assigned
May 25, 2011
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 109607 CA Primary

Addresses

Primary practice location

4371 Latham St
Riverside, CA 92501-1706

Mailing address

1430 Truxtun Ave Ste 400
Bakersfield, CA 93301-5220
Phone (661) 635-3050

Other names 1

  • Miss Jessica Amanda Hinojosa Former name

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
I20240221002116 CA Practitioner - Marriage and Family Therapist 8224472998 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109607CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Mar 1, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Mar 1, 2024 Accepting new patients
Neighborhood Healthcare CurrentSince Aug 19, 2024 Accepting new patients
Neighborhood Healthcare CurrentSince Aug 19, 2024 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Neighborhood Healthcare Past Accepting new patients
Neighborhood Healthcare PastSince Jan 1, 2021 Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

1430 Truxtun Ave
Ste 400
Bakersfield, CA 93301
Phone 6616353050 ext. 2148

215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

4371 Latham St
Riverside, CA 92501

4371 Latham St
Ste 200
Riverside, CA 92501

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Organizations & group practices 7

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1992098750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TRUXTUN AVE STE 400",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015220",
            "telephone_number": "661-635-3050",
            "fax_number": "760-379-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 LATHAM ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011706",
            "telephone_number": "833-867-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATEMAN",
        "first_name": "JESSICA",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2024-07-29",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HINOJOSA",
            "middle_name": "AMANDA",
            "prefix": "MISS",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.