JESSICA LARA DE SANTIAGO PSY.D.
NPI 1750717880
Psychologist in Fontana, CA
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Jessica De Santiago reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92336
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
FONTANA, CA 92336
FONTANA, CA 92336
FONTANA, CA 92336
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.
Which organization bills Medicare for Jessica De Santiago's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica De Santiago reassigns Medicare benefits to Anthony Benigno, Psyd., Psychological Services, PC (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica De Santiago's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica De Santiago was last updated on May 7, 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.