JESSICA LARA DE SANTIAGO PSY.D.
NPI 1750717880
Psychologist in Fontana, CA

Active since September 20, 2013PECOS Enrolled
16465 SIERRA LAKES PKWY STE 140, FONTANA, CA 92336(909) 244-9593(833) 903-0337 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2024, Feb 11, 2022, Oct 22, 2016 (3 updates tracked since 2016).

About Jessica Lara De Santiago Psy.d. NPPES

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

JESSICA LARA DE SANTIAGO PSY.D. (NPI 1750717880) is an individual psychologist in Fontana, California and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1750717880
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJESSICA LARA DE SANTIAGOCredential: PSY.D.
Location Address16465 SIERRA LAKES PKWY STE 140Fontana, CA 92336-1242
Mailing AddressPo Box 1388Chino Hills, CA 91709-0047 · (909) 573-3150
Fax(833) 903-0337
Sole ProprietorYes
Enumeration DateSeptember 20, 2013
Last NPPES UpdateMay 7, 20243 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
NPI 1750717880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedRehabilitation CounselorTaxonomy 225C00000X
16465 SIERRA LAKES PKWY STE 140, Fontana, CA 92336

Secondary Practice Location 1

Location 13200 Motor AveLos Angeles, CA 90034-3710 · Phone (310) 836-1223

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 Lara De Santiago Psy.d. 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 8

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

Psychologist (Clinical)
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
Psychologist (Clinical Child & Adolescent)
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
Psychologist
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
Clinic/Center (Mental Health (Including Community Mental Health Center))
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
Psychologist (Clinical)
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
Counselor
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
Marriage & Family Therapist
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336
Psychologist (Clinical)
16465 SIERRA LAKES PKWY STE 140
FONTANA, CA 92336

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 De Santiago's NPI number?

The NPI number for Jessica De Santiago is 1750717880. It was assigned to this individual provider in the NPPES registry on September 20, 2013.

Where is Jessica De Santiago located?

Jessica De Santiago practices at 16465 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336. The listed phone number is (909) 244-9593.

What is Jessica De Santiago's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jessica De Santiago enrolled in Medicare?

Yes. Jessica De Santiago is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica De Santiago was last updated on May 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.