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EUDELINA ORTIZ JACOBO
NPI 1144677113
Counselor - Mental Health in Commerce, CA

Active since May 19, 2016PECOS Enrolled
5650 JILLSON ST, COMMERCE, CA 90040(323) 201-4516(323) 215-0170 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eudelina Ortiz Jacobo NPPES

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

EUDELINA ORTIZ JACOBO (NPI 1144677113) is an individual mental health provider in Commerce, California, licensed in California (ASW66659) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144677113
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEUDELINA ORTIZ JACOBO
Location Address5650 JILLSON STCommerce, CA 90040-1482
Mailing Address5650 Jillson StCommerce, CA 90040-1482 · (323) 201-4516 · Fax (323) 215-0170
Phone(323) 201-4516
Fax(323) 215-0170
Sole ProprietorYes
Enumeration DateMay 19, 2016
✔ NPI 1144677113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · ASW66659
5650 JILLSON ST, Commerce, CA 90040
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eudelina Ortiz Jacobo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

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

PHAEDRA ALLEN
Social Worker
5650 JILLSON ST
COMMERCE, CA 90040
Los Angeles County (323) 201-4516
JWCH INSTITUTE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
5650 JILLSON ST
COMMERCE, CA 90040
Los Angeles County (323) 201-4516
GENEVIE KATHLEEN ESQUIVEL
Marriage & Family Therapist
5650 JILLSON ST
COMMERCE, CA 90040
Los Angeles County (213) 486-4062
MADALENA TRUONG
Physician Assistant
5650 JILLSON ST
COMMERCE, CA 90040
Los Angeles County (213) 484-1186
GLORIA CHAN
Social Worker (Clinical)
5650 JILLSON ST
COMMERCE, CA 90040
Los Angeles County (866) 733-5924
BRENDA WIEWEL
Social Worker (Clinical)
5650 JILLSON ST
COMMERCE, CA 90040
Los Angeles County (323) 201-4516
WESLEY HEALTH CENTERS- SKIDROW RESIDENTIAL CARE FACILITY
Clinic/Center (Federally Qualified Health Center (FQHC))
5650 JILLSON ST
COMMERCE, CA 90040
Los Angeles County (323) 201-4516
CHARLES DERRELL WILLIS
Counselor (Mental Health)
5650 JILLSON ST
COMMERCE, CA 90040
Los Angeles County (323) 201-4516

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 Eudelina Ortiz Jacobo's NPI number?

The NPI number for Eudelina Ortiz Jacobo is 1144677113. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Eudelina Ortiz Jacobo located?

Eudelina Ortiz Jacobo practices at 5650 Jillson St, Commerce, CA 90040. The listed phone number is (323) 201-4516.

What is Eudelina Ortiz Jacobo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Eudelina Ortiz Jacobo enrolled in Medicare?

Yes. Eudelina Ortiz Jacobo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eudelina Ortiz Jacobo was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.