Jessie Nguyen
Case Manager/Care Coordinator in Los Angeles, CA. Individual provider (NPI-1).
NPI number1235699760
StatusActive
Last updated in NPPESSep 29, 2024
Details
- NPI
- 1235699760
- Entity type
- Individual (NPI-1)
- Name
- Jessie Nguyen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2019
- Certification date
- Sep 29, 2024
- Last updated
- Sep 29, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
238 S Rampart BlvdLos Angeles, CA 90057-1404
Phone 626-632-7525
Mailing address
12 Witch WaySalem, MA 01970-1253
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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