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

Jesse Ray Roque

Individual provider Community Health Worker · NPI 1871335802

Jesse Ray Roque is a Community Health Worker in Los Angeles, California. Works from 4 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

840 N Avenue 66
Los Angeles, CA 90042-1508
Phone: (626) 395-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 835 Highland Springs Ave Ste 210, Beaumont, CA 92223-5771 — (626) 395-7100
  • 840 N Avenue 66, Los Angeles, CA 90042-1508 — (626) 395-7100
  • 490 S Farrell Dr Ste C200, Palm Springs, CA 92262-7944 — (626) 395-7100

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-VDCAMQ (CA)
Community Health Worker Taxonomy 172V00000X
Day Training/Habilitation Specialist Taxonomy 373H00000X (CA)

Record details

NPI number1871335802
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2024
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

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