JESSICA SIRIAS VASQUEZ
NPI 1396228797
Counselor - Mental Health in San Bruno, CA

Active since September 11, 2018PECOS Enrolled
1212 EL CAMINO REAL UNIT 351, SAN BRUNO, CA 94066(408) 471-8392 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Dec 11, 2025, Sep 11, 2018 (3 updates tracked since 2018).

About Jessica Sirias Vasquez NPPES

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

JESSICA SIRIAS VASQUEZ (NPI 1396228797) is an individual mental health provider in San Bruno, California, licensed in California (148078) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396228797
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA SIRIAS VASQUEZ
Location Address1212 EL CAMINO REAL UNIT 351San Bruno, CA 94066-1311
Mailing Address1212 El Camino Real Unit 351San Bruno, CA 94066-1311 · (408) 471-8392
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 11, 2018
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
NPI 1396228797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 148078
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 148078 (CA)
1212 EL CAMINO REAL UNIT 351, San Bruno, CA 94066

Other Names 1

Other Name (5)Jessica Sirias

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Sirias Vasquez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678059862
PECOS Enrollment IDI20260107003234
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.

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 Sirias Vasquez's NPI number?

The NPI number for Jessica Sirias Vasquez is 1396228797. It was assigned to this individual provider in the NPPES registry on September 11, 2018. The provider is also known as Jessica Sirias.

Where is Jessica Sirias Vasquez located?

Jessica Sirias Vasquez practices at 1212 El Camino Real Unit 351, San Bruno, CA 94066. The listed phone number is (408) 471-8392.

What is Jessica Sirias Vasquez's specialty?

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

Is Jessica Sirias Vasquez enrolled in Medicare?

Yes. Jessica Sirias Vasquez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Sirias Vasquez was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.