Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse Bevan

Individual provider Rehabilitation Practitioner · NPI 1396575528

Jesse Bevan is a Rehabilitation Practitioner in Santa Rosa, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

112 Childrens Cir
Santa Rosa, CA 95409-6558
Phone: (707) 565-4322
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1396575528
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2024
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address112 Childrens Cir, Santa Rosa, CA 95409-6558

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