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JENNIE LISETTE EDEZA
NPI 1962092593
Day Training/Habilitation Specialist in Riverside, CA

Active since January 18, 2021
2020 IOWA AVE STE 101, RIVERSIDE, CA 92507(951) 291-4309 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 4, 2025, Jan 18, 2021 (2 updates tracked since 2021).

About Jennie Lisette Edeza NPPES

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

JENNIE LISETTE EDEZA (NPI 1962092593) is an individual day training/habilitation specialist in Riverside, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1962092593
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameJENNIE LISETTE EDEZA
Location Address2020 IOWA AVE STE 101Riverside, CA 92507-7428
Mailing Address2020 Iowa Ave Ste 101Riverside, CA 92507-7428 · (951) 291-4309
Phone(951) 291-4309
Sole ProprietorNo
Enumeration DateJanuary 18, 2021
Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1962092593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
2020 IOWA AVE STE 101, Riverside, CA 92507
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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.

ANYA JAYA GUTIERREZ
Day Training/Habilitation Specialist
2020 IOWA AVE STE 101
RIVERSIDE, CA 92507
Riverside County (951) 624-9818
TRACEY DIANE WRIGHT
Counselor
2020 IOWA AVE STE 101
RIVERSIDE, CA 92507
Riverside County (951) 384-4699
JENNIFER SANCHEZ MS
Day Training/Habilitation Specialist
2020 IOWA AVE STE 101
RIVERSIDE, CA 92507
Riverside County (951) 580-1026
SABRINA ELAINE RODGERS MPH
Case Manager/Care Coordinator
2020 IOWA AVE STE 101
RIVERSIDE, CA 92507
Riverside County (951) 580-1026
MS. NICOLE MEER
Counselor
2020 IOWA AVE STE 101
RIVERSIDE, CA 92507
Riverside County (951) 384-4699
DANIEL NEGRETE JR.
Day Training/Habilitation Specialist
2020 IOWA AVE STE 101
RIVERSIDE, CA 92507
Riverside County (323) 376-7302
SHANTAL OREA REYES
Social Worker
2020 IOWA AVE STE 101
RIVERSIDE, CA 92507
Riverside County (951) 674-9243
CATHERINE FUNDERBURG
Counselor (Addiction (Substance Use Disorder))
2020 IOWA AVE STE 101
RIVERSIDE, CA 92507
Riverside County (951) 384-4699

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 Jennie Edeza's NPI number?

The NPI number for Jennie Edeza is 1962092593. It was assigned to this individual provider in the NPPES registry on January 18, 2021.

Where is Jennie Edeza located?

Jennie Edeza practices at 2020 Iowa Ave Ste 101, Riverside, CA 92507. The listed phone number is (951) 291-4309.

What is Jennie Edeza's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Jennie Edeza was last updated on July 25, 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.