1. Home
  2. Directory
  3. California
  4. San Bernardino
  5. Case Manager Care Coordinator
  6. NPI Profile

JESSICA BAUTISTA DE MORA
NPI 1013628700
Case Manager/Care Coordinator in San Bernardino, CA

Active since December 13, 2022
1100 N D ST, SAN BERNARDINO, CA 92410(909) 884-0840 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2024, Mar 15, 2023, Dec 13, 2022 (3 updates tracked since 2022).

About Jessica Bautista De Mora NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA BAUTISTA DE MORA (NPI 1013628700) is an individual case manager/care coordinator provider in San Bernardino, California, licensed in California (T2L7B5K5) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1013628700
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameJESSICA BAUTISTA DE MORA
Location Address1100 N D STSan Bernardino, CA 92410-3524
Mailing Address1100 N D StSan Bernardino, CA 92410-3524 · (909) 884-0840
Phone(909) 884-0840
Sole ProprietorNo
Enumeration DateDecember 13, 2022
Last NPPES UpdateMay 17, 20243 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
✔ NPI 1013628700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in CA · T2L7B5K5
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1100 N D ST, San Bernardino, CA 92410
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER DODD
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
VETERANS ALCOHOL REHABILITATION PROGRAM
Substance Abuse Rehabilitation Facility
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
KEITH STEPHENS
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
RICHARD VELIS
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
ADAM LAWRENCE BASTUBA
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 381-3774
FREDDY SANCHEZ NAVAR CATC NO. 228278 I
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
MS. JENNIFER MARIE MENDOZA
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840
JAMES LINCOLN DETTMAN
Counselor (Addiction (Substance Use Disorder))
1100 N D ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 884-0840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Bautista De Mora's NPI number?

The NPI number for Jessica Bautista De Mora is 1013628700. It was assigned to this individual provider in the NPPES registry on December 13, 2022.

Where is Jessica Bautista De Mora located?

Jessica Bautista De Mora practices at 1100 N D St, San Bernardino, CA 92410. The listed phone number is (909) 884-0840.

What is Jessica Bautista De Mora's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jessica Bautista De Mora was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.