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TSAE'YEH LA'SHAE JIMMERSON
NPI 1770171241
Peer Specialist in Rancho Cucamonga, CA

Active since January 09, 2021
9500 HAVEN AVE, RANCHO CUCAMONGA, CA 91730(909) 980-6700 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Jan 9, 2021 (2 updates tracked since 2021).

About Tsae'yeh La'shae Jimmerson NPPES

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

TSAE'YEH LA'SHAE JIMMERSON (NPI 1770171241) is an individual peer specialist in Rancho Cucamonga, California, licensed in California (MPSS-PLFAYG) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1770171241
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTSAE'YEH LA'SHAE JIMMERSON
Location Address9500 HAVEN AVERancho Cucamonga, CA 91730-5807
Mailing Address25910 Acero Ste 160Mission Viejo, CA 92691-2777
Phone(909) 980-6700
Sole ProprietorNo
Enumeration DateJanuary 9, 2021
Last NPPES UpdateApril 22, 20252 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
✔ NPI 1770171241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-PLFAYG
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
9500 HAVEN AVE, Rancho Cucamonga, CA 91730
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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.

DOMEIQUA D SMOOT
Counselor
9500 HAVEN AVE, 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-6700
RAUL ACOSTA
Peer Specialist
9500 HAVEN AVE, SUITE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-6700
LARON WILLIAMS
Counselor
9500 HAVEN AVE, SUITE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 809-2957
ANGELINE LIMJOCO VILLAFLOR LCSW
Social Worker (Clinical)
9500 HAVEN AVE, SUITE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-6700
MRS. CYNTHIA PINEDA-GONZALEZ LCSW
Counselor
9500 HAVEN AVE, SUITE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-6700
ADRIANA RUIZ
Counselor (Mental Health)
9500 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-6700
ANDY NGUYEN LE MSW
Social Worker (Clinical)
9500 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-6700
NAZARIA MARIANA MONFORTE M.S.
Interpreter
9500 HAVEN AVE
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-6700

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 Tsae'yeh Jimmerson's NPI number?

The NPI number for Tsae'yeh Jimmerson is 1770171241. It was assigned to this individual provider in the NPPES registry on January 9, 2021.

Where is Tsae'yeh Jimmerson located?

Tsae'yeh Jimmerson practices at 9500 Haven Ave, Rancho Cucamonga, CA 91730. The listed phone number is (909) 980-6700.

What is Tsae'yeh Jimmerson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tsae'yeh Jimmerson was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.