Individual Healthcare Provider
Jamie Blanco
Provider's NPPES record last updated: December 8, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063988699
- Primary Specialty
- Counselor — Professional
- Practice Location
- La Verne, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 5:12 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Professional
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YP2500X
Provider-Reported License Information
- Counselor (California)
- 3710
Practice Locations
Practice Location
1940 Baseline Rd
La Verne, California 91750-2148
Phone: (909) 392-1344
Additional Practice Location
670 W Baseline Rd
San Dimas, California 91773-1492
Phone: (909) 741-7124
Fax: (909) 741-7124
Additional Practice Location
16226 E. Benwick St.
Valinda, California 91744-9174
Phone: (626) 917-0857
Fax: (626) 917-0857
Additional Practice Location
30 Country Wood Dr
Phillips Ranch, California 91766-4818
Phone: (909) 623-3400
Fax: (909) 623-3400
Additional Practice Location
1923 E Eckerman Ave
West Covina, California 91791-1113
Phone: (626) 332-4600
Fax: (626) 332-4600
Additional Practice Location
3340 E Whitebirch Dr
West Covina, California 91791-3039
Phone: (626) 430-6864
Fax: (626) 430-6864
Record Information
- Enumeration Date
- October 22, 2018
- Provider's NPPES Record Last Updated
- December 8, 2022
- Certification Date
- December 8, 2022
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue