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JESSE BEVAN
NPI 1396575528
Rehabilitation Practitioner in Santa Rosa, CA

Active since August 02, 2024
112 CHILDRENS CIR, SANTA ROSA, CA 95409(707) 565-4322 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Aug 2, 2024 (2 updates tracked since 2024).

About Jesse Bevan NPPES

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

JESSE BEVAN (NPI 1396575528) is an individual rehabilitation practitioner in Santa Rosa, California and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1396575528
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameJESSE BEVAN
Location Address112 CHILDRENS CIRSanta Rosa, CA 95409-6558
Mailing Address112 Childrens CirSanta Rosa, CA 95409-6558 · (707) 565-4322
Phone(707) 565-4322
Sole ProprietorNo
Enumeration DateAugust 2, 2024
Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
✔ NPI 1396575528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
112 CHILDRENS CIR, Santa Rosa, CA 95409
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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.

ROXANNE MARIE MOON RN
Registered Nurse
112 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-6350
JOAN KATHLEEN RISSE
Registered Nurse
112 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-6360
ROXANA ELIZABETH VISTE GUZMAN
Day Training/Habilitation Specialist
112 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-4322
ROBERTO MACIAS
Day Training/Habilitation Specialist
112 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-6350
MEI NGUYEN
Rehabilitation Practitioner
112 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-4322
KEVIN MICHAEL CLINE
Rehabilitation Practitioner
112 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-6350
GINA L WATERMAN
Day Training/Habilitation Specialist
112 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-6350
MARIANA FLORES-LUNA
Rehabilitation Practitioner
112 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-6350

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 Jesse Bevan's NPI number?

The NPI number for Jesse Bevan is 1396575528. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Where is Jesse Bevan located?

Jesse Bevan practices at 112 Childrens Cir, Santa Rosa, CA 95409. The listed phone number is (707) 565-4322.

What is Jesse Bevan's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Jesse Bevan was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.