JESSICA1 OTTE (NPI# 1457836165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457836165 |
| Entity Type | Individual |
| Full Name | JESSICA1 OTTE |
| Credential | RBT |
| Practice Address |
27070 Sun City Blvd Sun City CA 92586-2509 |
| Practice Telephone | 9513810750 |
| Mailing Telephone | 9513810750 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | RBT-18-66017 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
27070 SUN CITY BLVD |
| City | SUN CITY |
| State | CA |
| Zip Code | 92586-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144782236 | Yajaria Avila | Behavior Technician | 27070 Sun City Blvd, Sun City, CA 92586-2509 | 2019-04-05 |
| 1124591193 | David Leonard Torrez | Behavioral Analyst | 27070 Sun City Blvd, Sun City, CA 92586-2509 | 2019-01-02 |
| 1316413123 | Jasmine Beverly | Technician/Technologist | 27070 Sun City Blvd, Sun City, CA 92586-2509 | 2018-10-18 |
| 1255810982 | Xotchil Medrano | Technician | 27070 Sun City Blvd, Sun City, CA 92586-2509 | 2018-08-13 |
| 1568966158 | Cindy Martinez | Behavior Technician | 27070 Sun City Blvd, Sun City, CA 92586-2509 | 2018-03-20 |
| 1710481437 | Ronald Alfred Beauloye IIi | Behavior Technician | 27070 Sun City Blvd, Sun City, CA 92586-2509 | 2018-03-19 |
| 1154854776 | Tanya Hirmiz | Assistant Behavior Analyst | 27070 Sun City Blvd, Sun City, CA 92586-2509 | 2017-04-10 |
| 1164804241 | Patricia Pebbles Gminder | Behavioral Analyst | 27070 Sun City Blvd, Sun City, CA 92586-2509 | 2015-06-24 |
| 1194107771 | Guiding Behavior Outcomes LLC | Community/Behavioral Health | 27070 Sun City Blvd, Sun City, CA 92586-2509 | 2015-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053586800 | Binoy Govindbhai Patel | Physical Therapist | 29798 Haun Rd Ste 201, Menifee, CA 92586 | 2008-04-23 |
| 1164552667 | Diana Suzanne Koenen | Marriage & Family Therapist | Sun Plaza Business Center, 27851 Bradley Rd, Suite 103, Menifee, CA 92586 | 2007-03-06 |
| 1972654804 | Mike Johnson | Specialist | 26916 Cherry Hills Boulevard, Sun City, CA 92586 | 2007-01-16 |
| 1932256849 | Mandana Mirshahzadeh | Nurse Practitioner | 26926 Cherry Hills Blvd Ste B, Menifee, CA 92586 | 2007-01-04 |
| 1184709248 | Technomed Homecare Inc | Durable Medical Equipment & Medical Supplies | 27188 Sun City Blvd, Sun City, CA 92586 | 2006-10-26 |
| 1922193754 | Minh Pham | Dentist | 29950 Haun Rd, Ste 302, Sun City, CA 92586 | 2006-10-04 |
| 1598739203 | Kevin Khuong Nguyen | Family Medicine | 29798 Haun Road, Suite 203, Menifee, CA 92586 | 2006-02-17 |
| 1831199728 | Duane Ray Darnell | Internal Medicine | 27994 Bradley Rd, Ste F, Sun City, CA 92586 | 2005-07-21 |
| 1043723869 | New Hope Rx Pharmacy, Inc | Pharmacy | 29798 Haun Rd Ste 100, Menifee, CA 92586 | 2017-11-15 |
| 1245690759 | R. O. Gonzalez Dds, Inc A Professional Corporation | Dentist | 29798 Haun Rd, Suite 101, Menifee, CA 92586 | 2016-02-25 |
| Find all providers in zip 92586 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184017774 | Judith Martinez | Technician, Other | 13041 N Del Webb Blvd, Sun City, AZ 85351-3034 | 2015-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265912 | Jenny Alicia Jimenez | Technician, Other | 20353 Guffy Ln, Wildomar, CA 92595-8797 | 2020-11-03 |
| 1093313579 | Victoria Espinoza | Technician, Other | 1111 Morrissey Blvd, Santa Cruz, CA 95065-1406 | 2020-10-15 |
| 1154928679 | Carina Lopez | Technician, Other | 3065 E Ramon Rd, Palm Springs, CA 92264 | 2020-10-07 |
| 1285241778 | Lice Clinics of America- Pleasanton | Technician, Other | 818 Main St Ste H, Pleasanton, CA 94566-6648 | 2020-09-28 |
| 1063028348 | Kendall Marie Avila | Technician, Other | 28 Pueblo Vista Rd, Santa Barbara, CA 93103-2159 | 2020-09-22 |
| 1215542808 | Kelsie Arballo | Technician, Other | 10440 Maya Linda Rd Apt E307, San Diego, CA 92126-5262 | 2020-09-10 |
| 1104439199 | Zahraa Al Karkhi | Technician, Other | 10884 Calle Verde Apt 102, La Mesa, CA 91941-8502 | 2020-08-28 |
| 1841803269 | Mayra A Valdivia | Technician, Other | 26701 Quail Crk Apt 280, Laguna Hills, CA 92656-3062 | 2020-08-25 |
| 1669082434 | Jerome Prudencio Jr. | Technician, Other | 8816 La Riviera Dr Unit D, Sacramento, CA 95826-2075 | 2020-08-05 |
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.