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NPI 1063368058ActiveOrganization· Community Health Worker· Victorville, CA
Community Health Worker in Victorville, California, registered in NPPES in March 2026. The authorized official on file is Raquel Lisa Jennings, CPC, CHW, Founder/President.
Overview
| NPI | 1063368058 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2026 |
| Last updated in NPPES | Mar 11, 2026 |
| Certified by provider | Mar 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community Health Worker Primary | 172V00000X | — | — |
| Case Management | 251B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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