Jessica Lara De Santiago, PSY.D.
NPI 1750717880ActiveIndividual· Psychologist· Fontana, CA
Psychologist (PSY.D.) in Fontana, California, with an NPI issued in September 2013. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1750717880 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 20, 2013 |
| Last updated in NPPES | May 7, 2024 |
| Certified by provider | May 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | CA |
| Rehabilitation Counselor | 225C00000X | — | — |
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) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
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