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

Individual provider Case Manager/Care Coordinator · NPI 1013628700

Jessica Bautista de Mora is a Case Manager/Care Coordinator in San Bernardino, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

1100 N D St
San Bernardino, CA 92410-3524
Phone: (909) 884-0840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence T2L7B5K5 (CA)

Record details

NPI number1013628700
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2022
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024

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